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Liposarcoma Biopsy Tract Seeding

Imaging findings

Chest CT shows a rapidly growing left pleural-based soft tissue mass in a patient with a history of metastatic liposarcoma who previously underwent a needle biopsy of a small pulmonary nodule. The pleural mass developed along the trajectory of the prior biopsy tract.

Key takeaways

Tumor seeding along a biopsy tract is a rare but well-documented complication of percutaneous needle biopsy of sarcomas and other malignancies. Biopsy of suspected sarcomas should be discussed with a thoracic surgeon to ensure the biopsy tract can be resected during surgery.

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