Pleural dissemination as a complication of preoperative percutaneous transhepatic biliary drainage for hilar cholangiocarcinoma: report of a case.
One potential risk of percutaneous transhepatic biliary drainage is tumor seeding along the catheter tract. A 57-year-old woman with obstructive jaundice due to hilar cholangiocarcinoma underwent an extended left hepatic lobectomy, a regional lymph node dissection, and a right hepaticojejunostomy 2 weeks after percutaneous transhepatic biliary drainage. Multiple right pleural masses were found on a chest radiogram 14 months after the operation. No recurrent lesions were detected in the abdominal cavity. A right panpleuropneumonectomy was performed; however, the patient died of respiratory failure due to tumor recurrence 9 months after the second operation. Preoperative percutaneous transhepatich biliary drainage was considered to have resulted in pleural implantation.
Uenishi
T
T
Second Department of Surgery, Osaka City University Medical School, Osaka, Japan.
Hirohashi
K
K
Inoue
K
K
Tanaka
H
H
Kubo
S
S
Shuto
T
T
Yamamoto
T
T
Kaneko
M
M
Kinoshita
H
H
D018281:Cholangiocarcinoma / Q000473:pathology / Q000601:surgery*; D004322:Drainage; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D007565:Jaundice / Q000628:therapy*; D008113:Liver Neoplasms / Q000473:pathology / Q000601:surgery*; D008197:Lymph Node Excision; D008875:Middle Aged; D009360:Neoplastic Cells, Circulating; D010997:Pleural Neoplasms / Q000556:secondary*; D011183:Postoperative Complications; D011300:Preoperative Care