Peritoneal seeding of cholangiocarcinoma in patients with percutaneous biliary drainage
Percutaneous transhepatic catheter decompression is performed increasingly as an adjunct or alternative to surgery in patients with benign or malignant biliary obstruction. The authors recently saw three patients with cholangiocarcinoma in whom metastatic seeding of the peritoneal serosa was identified some months after initial percutaneous transhepatic biliary drainage. Although no tumor was found along the hepatic tract of the biliary drainage catheters to implicate the drainage tubes as the direct source of peritoneal spread, the occurrence of this rare type of metastasis of cholangiocarcinoma in patients with potential access of tumor cells to the peritoneal cavity via the catheter tracts does suggest such a relation. The clinical history of one patient is presented.
- Research Organization:
- Duke Univ., Durham, NC (United States). Medical Center
- OSTI ID:
- 6669508
- Journal Information:
- AJR, Am. J. Roentgenol.; (United States), Vol. 141:3
- Country of Publication:
- United States
- Language:
- English
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59 BASIC BIOLOGICAL SCIENCES
BILIARY TRACT
BIOMEDICAL RADIOGRAPHY
COMPUTERIZED TOMOGRAPHY
CARCINOMAS
DIAGNOSIS
IRIDIUM 192
METASTASES
PATIENTS
RADIOTHERAPY
BETA DECAY RADIOISOTOPES
BETA-MINUS DECAY RADIOISOTOPES
BETA-PLUS DECAY RADIOISOTOPES
DAYS LIVING RADIOISOTOPES
DIAGNOSTIC TECHNIQUES
DIGESTIVE SYSTEM
DISEASES
ELECTRON CAPTURE RADIOISOTOPES
HEAVY NUCLEI
INTERNAL CONVERSION RADIOISOTOPES
IRIDIUM ISOTOPES
ISOMERIC TRANSITION ISOTOPES
ISOTOPES
MEDICINE
MINUTES LIVING RADIOISOTOPES
NEOPLASMS
NUCLEAR MEDICINE
NUCLEI
ODD-ODD NUCLEI
RADIOISOTOPES
RADIOLOGY
THERAPY
TOMOGRAPHY
YEARS LIVING RADIOISOTOPES
550602* - Medicine- External Radiation in Diagnostics- (1980-)
550603 - Medicine- External Radiation in Therapy- (1980-)
550900 - Pathology