It's quite a bit about that, but it doesn't detract from my point. Mechanical disturbance alone can spread cancer and increase mortality.

"The risk of tumor seeding after liver biopsy is 2.7%"

https://easl.eu/wp-content/uploads/2018/10/Hepatocellular-Ca...

Tissue containment systems for uterine morcellation

https://www.fda.gov/medical-devices/safety-communications/up...