A Case of Catheter Tract Seeding after Percutaneous Transhepatic Cholangio Drainage for Gallbladder Carcinoma

Tadashi Bando, Masato Endo, Takekazu Goka, Yuko Tsuda, Yuji Nukui, Mitsuyoshi Shimoda and Kazuhiro Tsukada

The Second Department of Surgery, Toyama Medical and Pharmaceutical University, School of Medicine

A 55-year-old woman with jaundice sent to our department for consultation after percutaneous transhepatic cholangio drainages (PTCD) was suspected of catheter tract seeding. We conducted cholecystectomy, liver bed resection, extra hepatic bile duct resection and lymph node dissection for gallbladder carcinoma of comprehensive stage IVa. We added postoperative radiation therapy and adjuvant chemotherapy with CDDP and 5FU. About a month later, a metastatic subcutaneous catheter tract seeding tumor found at the bile duct drainage catheter tract was extirpated. It is thus important to consider the possibility of such recurrence, with positive early resection as the treatment of choice.

Key words
cancer of the gallbladder, percutaneous transhepatic cholangio drainage, disseminated metastasis

Reprint requests
Tadashi Bando The Second Department of Surgery, Toyama Medical and Pharmaceutical University, School of Medicine 2630 Sugitani, Toyama, 930-0194 JAPAN

Accepted
January 30, 2002

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