Biopsy of potentially operable hepatic colorectal metastases is not useless but dangerous

BMJ 2004; 329 doi: https://doi.org/10.1136/bmj.329.7473.1045-c (Published 28 October 2004) Cite this as: BMJ 2004;329:1045
  1. Oliver M Jones, specialist registrar in surgery,
  2. Myrddin Rees, consultant hepatobiliary surgeon (myrddinrees@btconnect.com),
  3. Tim G John, consultant hepatobiliary surgeon,
  4. Sean Bygrave, statistician,
  5. Graham Plant, consultant interventional radiologist
  1. North Hampshire Hospital, Basingstoke RG24 9NA
  2. North Hampshire Hospital, Basingstoke RG24 9NA
  3. North Hampshire Hospital, Basingstoke RG24 9NA

    EDITOR—We have followed with interest the debate about tumour seeding in the aftermath of fine needle aspiration cytology (FNAC) in patients with potentially resectable hepatic colorectal liver metastases.1 The verdict of Metcalfe et al of “useless and dangerous” seems to have provoked strong emotions among some of your readers, and we should like to contribute two observations.

    Our staging protocol comprises …

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