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Published on: April 19, 2022
Massive bleeding after fine needle aspiration of liver angiosarcoma
Y Hertzanu1, J Peiser, H Zirkin
1Department of Diagnostic Radiology, Soroka Medical Center, Beer-Sheva, Israel.
Summary
Fine needle aspiration for liver angiosarcoma carries significant bleeding risks. This procedure is potentially life-threatening, especially when the liver and spleen are involved.
Area of Science:
- Oncology
- Hepatology
- Vascular Surgery
Background:
- Liver angiosarcoma is a rare and aggressive malignancy.
- Biopsy procedures for liver tumors require careful consideration due to potential complications.
Observation:
- A patient with angiosarcoma of the liver and spleen underwent fine needle aspiration.
- Massive bleeding occurred immediately following the liver fine needle aspiration procedure.
Findings:
- Fine needle aspiration of liver angiosarcoma is associated with a high risk of life-threatening hemorrhage.
- The risk appears elevated in cases involving both the liver and spleen.
Implications:
- Clinicians should exercise extreme caution when considering fine needle aspiration for liver angiosarcoma.
- Alternative diagnostic or staging methods may be preferable to minimize bleeding risks.
- This case highlights the critical need for risk-benefit assessment in interventional procedures for rare liver cancers.

