Subcutaneous implantation metastasis of a cholangiocarcinoma of the bile duct after percutaneous transhepatic biliary drainage (PTBD).
Percutaneous transhepatic biliary drainage (PTBD) is the basis for most biliary interventional procedures. We recently observed the occurrence of a subcutaneous implantation metastasis after PTBD in a patient with incurable cholangiocarcinoma. 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.
Loew
R
R
Department of Radiology, Johannes Gutenberg University Mainz Medical School, D-55131 Mainz, Germany.
Dueber
C
C
Schwarting
A
A
Thelen
M
M
D000368:Aged; D001650:Bile Duct Neoplasms / Q000473:pathology*; D001653:Bile Ducts, Intrahepatic; D002404:Catheterization / Q000009:adverse effects; D018281:Cholangiocarcinoma / Q000209:etiology / Q000473:pathology / Q000556:secondary*; D002780:Cholestasis, Intrahepatic / Q000209:etiology / Q000628:therapy; D004322:Drainage / Q000009:adverse effects*; D006801:Humans; D008297:Male; D009366:Neoplasm Seeding; D010166:Palliative Care; D011677:Punctures / Q000009:adverse effects*; D012878:Skin Neoplasms / Q000473:pathology / Q000556:secondary