Skip to main content

Advertisement

SpringerLink
Log in

Implantation Metastasis along the Stereotactic Biopsy Tract in Anaplastic Astrocytoma: A Case Report

  • Published:
Journal of Neuro-Oncology Aims and scope Submit manuscript

Abstract

Objective and importance: Stereotactic biopsy for brain lesion is usually a safe procedure and the reported rate of complication is minimal. Moreover, local seeding along the trajectory of the stereotactic biopsy is a rare complication. The authors report a case of metastatic implantation along the trajectory of the stereotactic biopsy in anaplastic astrocytoma.

Clinical presentation: A 64-Year-old man who presented with a one-month history of speech and memory disturbance underwent magnetic resonance (MR) imaging that disclosed a large mass in the left basal ganglia and medial temporal region.

Intervention: Under the impression of high-grade glioma, computed tomography guided stereotactic biopsy was performed using the Riechert–Mundinger system. The histologic diagnosis was anaplastic astrocytoma. MR images after two cycles of chemotherapy showed a small enhancing portion in the middle of the biopsy tract, which was considered a surgical artifact and not included in the field of the following conventional fractionated radiation therapy. MR images three months after the completion of radiation therapy revealed that the enhancing portion had become a larger mass irrespective of good control of the primary tumor.

Conclusion: Our findings suggest that tumor seeding along the stereotactic biopsy trajectory must be considered if an enhancing lesion appears in the MR image following the stereotactic biopsy. The cause and the prevention of implantation metastasis along the stereotactic biopsy tract are also discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Barloon TJ, Yuh WT, Sato Y, Sickels WJ: Frontal lobe implantation of craniopharyngioma by repeated needle aspirations. AJNR 9: 406–407, 1988

    Google Scholar 

  2. Perrin RG, Bernstein M: Iatrogenic seeding of anaplastic astrocytoma following stereotactic biopsy. J Neuro-Oncol 36: 243–246, 1998

    Google Scholar 

  3. Pierallini A, Caramia F, Piattella MC, Pantano P, Santoro A, Di Stefano D, Bozzalo L: Metastasis along the stereotactic biopsy trajectory in glioblastoma multiforme. Acta Neurochir (Wien) 141: 1011–1012, 1999

    Google Scholar 

  4. Roa WH, Kim D, Halls SB, Murray B: Implantation metastasis of primary central nervous system lymphoma complicating radiotherapy outcome. Am J Clin Oncol 22: 29–31, 1999

    Google Scholar 

  5. Rosenfeld JV, Murphy MA, Chow CW: Implantation metastasis of pineoblastoma after stereotactic biopsy. J Neurosurg 73: 287–290, 1990

    Google Scholar 

  6. Apuzzo ML, Chandrasoma PT, Cohen D, Zee CS, Zelman V: Computed imaging stereotaxy: experience and perspective related to 500 procedures applied to brain masses. Neurosurgery 20: 930–937, 1987

    Google Scholar 

  7. Bernstein M, P arrent AG: Complications of CT-guided stereotactic biopsy of intra-axial brain lesions. J Neurosurg 81: 165–168, 1994

    Google Scholar 

  8. Lunsford LD, Martinez AJ: Stereotactic exploration of the brain in the era of computed tomography. Surg Neurol 22: 222–230, 1984

    Google Scholar 

  9. Ashraf R, Bentley RC, Awan AN, M clendon RE, Ragozzino MW: Implantation metastasis of primary malignant rhabdoid tumor of the brain in an adult (one case report). Med Pediatr Oncol 28: 223–227, 1997

    Google Scholar 

  10. Karlsson B, Ericson K, Kihlström L, Grane P: Tumor seeding following stereotactic biopsy of brain metastases. J Neurosurg 87: 327–330, 1997

    Google Scholar 

  11. Ogilvy CS, Moayeri N, Golden JA: Appearance of a cavernous hemangioma in the cerebral cortex after a biopsy of a deeper lesion. Neurosurgery 33: 307–309, 1993

    Google Scholar 

  12. Ryd W, H agmar B, Eriksson O: Local tumour cell seeding by fine-needle aspiration biopsy. A semiquantitative study. Acta Pathol Microbiol Immunol Scand 91: 17–21, 1983

    Google Scholar 

  13. Southam CM, Brunschwig A: Quantitative studies of autotransplantation of human cancer. Cancer 14: 971–978, 1961

    Google Scholar 

  14. Roussel F, Nouvet G: Evaluation of large-needle biopsy for the diagnosis of cancer. Acta Cytol 39: 449–452, 1995

    Google Scholar 

  15. Glasgow BJ, Brown HH, Zargoza AM, Foos RY: Quantitation of tumor seeding from fine needle aspiration of ocular melanomas. Am J Ophthalmol 105: 538–546, 1988

    Google Scholar 

Download references

Author information

Author notes

  1. Jeong E. Kim

    Present address: Department of Neurosurgery, Cheju National University College of Medicine, Jeju, 690-756, Korea

Authors and Affiliations

  1. Department of Neurosurgery, Seoul National University College of Medicine, Clinical Research Institute, Seoul National University Hospital, Seoul, Korea

    Jeong E. Kim, Chae-Yong Kim, Dong G. Kim & Hee-Won Jung

Authors
  1. Jeong E. Kim
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Chae-Yong Kim
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Dong G. Kim
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Hee-Won Jung
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kim, J.E., Kim, CY., Kim, D.G. et al. Implantation Metastasis along the Stereotactic Biopsy Tract in Anaplastic Astrocytoma: A Case Report. J Neurooncol 61, 215–218 (2003). https://doi.org/10.1023/A:1022581526527

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1022581526527

Search

Navigation