Subcutaneous Implantation Metastasis of a Cholangiocarcinoma of the Bile Duct after Percutaneous Transhepatic Biliary Drainage (PTBD).
- Author:
Sung Ki KIM
1
;
Don Haeng YEE
;
In Han KIM
;
Jong Kil YOO
;
Jae Nam CHANG
;
Won CHOI
;
Pum Soo KIM
;
Hyung Gil KIM
;
Young Soo KIM
;
Woo Chul KIM
Author Information
1. Department of Internal Medicine, Inha University College of Medicine, Inchon, Korea.
- Publication Type:Original Article
- Keywords:
Percutaneous transhepatic biliary drainage;
Cholangiocarcinoma;
Implantation metastasis
- MeSH:
Bile Ducts*;
Bile*;
Biliary Tract;
Catheterization;
Catheters;
Cholangiocarcinoma*;
Decompression;
Diagnosis;
Drainage*;
Granuloma;
Humans;
Neoplasm Metastasis*
- From:Korean Journal of Gastrointestinal Endoscopy
1999;19(5):837-842
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Percutaneous transhepatic biliary catheterization (PTC) has not only been increasingly used in the localization of benign and malignant lesions, but it is also considered rapid, safe and effective method to establish internal and external drainage for decompression of biliary obstructions. Infections and granulomas at the catheter entry site can occasionally develop, but are easily managed. However, such technique, when used both for obtaining malignant cells for diagnosis and for percutaneous decompression of the biliary tract can exposure the patient at risk for dissemination of the tumor along the catheter tract. This rare complication has been observed in a patient who underwent percutaneous transhepatic biliary drainage (PTBD) for malignant biliary tract obstruction. Although tumor cell seeding along the catheter tract is a very rare complication, we think that PTBD should be avoided when curative resection is planned.
