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Needle tract recurrence of hepatocellular carcinoma after liver transplantation
  1. J DUMORTIER,
  2. C LOMBARD-BOHAS,
  3. P-J VALETTE,
  4. O BOILLOT
  1. J DUMORTIER,
  2. O BOILLOT
  1. J-Y SCOAZEC,
  2. F BERGER
  1. S CLAUDEL-BONVOISIN
  1. Fédération des Spécialités Digestives
  2. Hôpital Edouard Herriot, Lyon, France
  3. Unité de Transplantation Hépatique
  4. Hôpital Edouard Herriot, Lyon, France
  5. Laboratoire Central d'Anatomie et Cytologie Pathologiques
  6. Hôpital Edouard Herriot, Lyon, France
  7. Service de Gastroentérologie
  8. Centre Hospitalier Lyon Sud, Pierre Bénite, France
  1. Dr J Dumortier, INSERM U45, Pavillon H, Hôpital Edouard Herriot, 5 place d'Arsonval, 69437 Lyon cedex 03, France. Email: jdumortier{at}lyon151.inserm.fr

https://doi.org/10.1136/gut.47.2.301

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    Background—Percutaneous ultrasound guided needle aspiration biopsy is an efficient procedure for the diagnosis of hepatocellular carcinoma (HCC). However, this procedure may be responsible for metastatic seeding in the needle tract.1 We present a case of metastatic subcutaneous seeding after orthotopic liver transplantation (OLT) for cirrhosis complicated by HCC.

    Case report—A 29 year old man with a past history of chronic hepatitis C and alcoholism was admitted in July 1987 for hepatocellular insufficiency. The diagnosis of cirrhosis was confirmed by liver biopsy. In February 1997, a 30 mm intrahepatic focal lesion was discovered at ultrasonographic …

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