Vol. 118, November
~('HE eJOURNAL OF UROLOGY
Printed in U .S ~A.
Copyright © 1877 by The ~lilharns & VVilkins Co.
ASPIRATION OF RENAL ROBERT
WILLIAM ff BUSH, JR.
AND
LELAND L. BURNETT
lVfoson Medical Center, Seattle, Washington
F roni lh,e Sections 1
ABSTRAC'l'
.A case
n;;,n,,n,n,
the needle tract 20 months after needle aspiration of a renal This rare but 1-'"""'·"ne complication of needle aspiration should not the evaluation of renal mass lesions. Needle aspiration should be reserved in whorn the clinical au.....u,,;0 roentgenograms and sonography indicate a benign lesions often involves a combination of tomography, sonography, angiography and needle aspiration, When needle aspiration is used diagnostically an occasional solid tumor will be punctured with the resultant i,u,,c,,c"""
Pw, L Primary renal eel! carcinoma. A, low powe, view, H & E, reduced from xlOO, B, high power view, H & E, reduced from x400
seeding tumor cells along the needle tract. Herein we a case of needle tract seeding after the aspiration of a renal mass that to be a renal cell carcinoma.
fol" publication June 17, 1977. annual meeting of Section, American Urological Association, San Francisco, March 13-17, 1977,
865
866
GIBBONS, BUSH AND BURNETT
FIG. 2. Tumorfrom needle biopsy tract. A, low power view. H & E, reduced from xlOO. B, high power view. H & E, reduced from x400. Note similarity in tubular and papill.ary growth pattern as well as similar cellular arrangement and nuclear morphology in figure 1.
FIG. 3. Biopsy needle tract. Note central area of healing tissue surrounded by rim of recurrent tumor (arrows). H & E, reduced from x40
NEEDLE TRACT SEEDING FOLLOVVING ASPIRATION OF RENAL CELL DISCUSSWN
MASS EVALUATION
Fm. 4. Current diagnostic schem.a used to evaluate renal mass Iesions.
CASE REPORT
man was referred to our m 1971 pca1.at:i,"' hematuria. An PIP revealed norrn.al bladder. The stage O transitional cell carcinoma of vvas resected examination was norn1al until noted in the mid lateral without scale UCH"HH,CCUCCOU
without success on small amounts of blood were returned. 10 the
3.
eJ., Lalli.) /1.. F1., Con1plications of renal aspiration. Urology 7~ Dean, A. L.: 'l'reatrnent 1 ranso An1e:r. P"tss. Genito-U::·j_n. Levine, S. , Emmett, L. and turn or occu1.~ring in the so.rn.e kidney. ~J. Si1•ler1nan, c:.T. F. and I(ilherniy) C.: renal Report of a ItL rnass with hematuri,L 1969. 1
6.
II metastatic adenocarcinoma, consistent with
resected renal tumor (figs. 2 and 3). A
turnor uoc·~-·""···~·"· There has been no evidence of .recurrence, 1.u,crn,,u.u,; the bladder carcinoma.
1
7. 8. 9.