Korean Journal of Gastrointestinal Endoscopy 1999;19(5): 837-842.
경피경간 담도배액관을 따라 피부로 전이된 담도암 1예 ( Subcutaneous Implantation Metastasis of a Cholangiocarcinoma of the Bile Duct after Percutaneous Transhepatic Biliary Drainage (PTBD) )
김성기(Sung Ki Kim),이돈행(Don Haeng Yee),김인한(In Han Kim),유종길(Jong Kil Yoo),장재남(Jae Nam Chang),최원(Won Choi),김범수(Pum Soo Kim),김형길(Hyung Gil Kim),김영수(Young Soo Kim),김우철(Woo Chul Kim)
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. (Korean J Gastrointest Endosc 19: 837∼842, 1999)
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