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題 名 | Tumor Seeding of Pancreatic Carcinoma along a Percutaneous Transhepatic Biliary Catheter Tract=胰臟腫瘤沿著經皮穿肝膽道引流路徑擴散 |
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作 者 | 姜仁惠; 王家槐; 邱怡友; 鄭慧正; 李潤川; 曾修山; 蘇正熙; 張政彥; | 書刊名 | 中華放射線醫學雜誌 |
卷 期 | 23:6 1998.12[民87.12] |
頁 次 | 頁227-230 |
分類號 | 416.248 |
關鍵詞 | 膽道; 阻塞; 介入性步驟; 併發症; 胰臟; 腫瘤; Bile ducts; Obstruction; Interventional procedures; Complications; Pancreas; Neoplasm; |
語 文 | 英文(English) |
中文摘要 | 經皮穿肝膽道攝影及引流術通常用來診斷與處理惡性阻塞性黃疸的病人。腫瘤沿著引流路徑擴散是很罕見的。在做經皮穿肝膽道引流術時,為了建立一個內外引流的路徑而將引流管穿越過阻塞段的腫瘤,容易使惡性腫瘤細胞沿著引流路徑而擴散出去。我們報告一例惡性胰臟腺癌的病人,在手術前接受了12天的經皮穿肝膽道引流管的放置,結果在四個月後胰臟腫瘤沿著引流路徑而擴散到右肝以及原來穿刺的表皮,並且在皮下形成一個結節。電腦斷層可以明顯的看到腫瘤擴散的情形。我們建議惡性阻塞性黃疸的病人,若是一定要做經皮穿肝膽道引流術,為了盡量減少碰觸到腫瘤,則最好只做單純的外引流術。 |
英文摘要 | Percutaneous transhepatic cholangiography and biliary drainage (PTCD) is a commonly used procedure in the diagnosis and management of obstructive jaundice associated with malignant lesions. The development of a tumor along the drainage tract is rare. However, tumor manipulation as an effort to establish short or long-term internal-external biliary drainage is liable to disseminate the malignancy along the catheter tract. We report a patient with pancreatic head carcinoma who developed tumor seeding along the catheter tract after short-term decompression of obstructive jaundice. This patient had received PTCD for twelve days before surgery. Four months later, a subcutaneous nodule was found at the puncture site of previous PTCD. CT scan showed tumor seeding along the catheter tract and in the subcutaneous area. This case suggests that if biliary drainage needs to be established for patients with malignant obstructive jaundice who are candidates for resection, an external biliary drainage catheter rather than an internal-external drainage catheter should be used in order to disturb the tumor as little as possible. |
本系統中英文摘要資訊取自各篇刊載內容。