J Korean Surg Soc.  2000 Aug;59(2):281-285.

Subcutaneous Metastasis at the PTBD Catheter Insertion Site in Bile-duct Carcinomas: Report of two cases

• Lim DP
• Koo WH
• Roh JH
• Cho CK
• Kim HJ

Abstract

Percutaneous transhepatic biliary drainage (PTBD) is the basis for most biliary interventional pro cedures, and the application of preoperative PTBD to patients who have malignant obstructive jaundice has a significant effect on overall morbidity, mortality, and patient survival by allowing selective application of the most appropriate therapeutic modality. There are few case reports on subcutaneous metastasis of bile-duct cancer. We recently observed a subcutaneous metastasis at the catheter insertion site after PTBD in two patients with bile-duct cancer. Although tumor-cell seeding along the catheter tract is a very rare complication, we think that PTBD requires more attention when a curative resection is planned.

Keyword

PTBD; Subcutaneous metastasis; Bile-duct cancer

MeSH Terms

Bezafibrate
Catheters*
Drainage
Humans
Jaundice, Obstructive
Mortality
Neoplasm Metastasis*
Bezafibrate