Metastatic seeding of bile duct carcinoma in the transhepatic catheter tract: Report of a case

Abstract

We describe herein the case of a 51-year-old woman in whom metastatic tumor seeding of the percutanenous transhepatic biliary drainage tract occurred following a pancreatoduodenectomy for carcinoma of the distal common bile duct. An abdominal computed tomography scan done 6 months after the initial operation detected a hepatic lesion located at the site of the previous percutaneous transhepatic biliary drainage tract. Implantation of bile duct carcinoma in the drainage tract was diagnosed, and the recurrent tumor was successfully resected by performing a subsegmentectomy of segment 3 and removal of the adjacent abdominal wall. At present, 5 years and 4 months after the second resection, the patient is in good health without any signs of recurrence. This case report demonstrates that an aggressive surgical approach should be performed for tumor seeding of a transhepatic biliary catheter tract.

Catheter Tract Recurrence After Percutaneous Biliary Drainage for Hilar Cholangiocarcinoma

“…The treatment strategy after catheter tract recurrence also remains unclear. Some authors reported successful survival outcome after surgical treatment of catheter tract recurrence [14][15][16], and Oleaga et al [8] reported that local radiation therapy may provide relief from discomfort in patients with catheter tract recurrence. On the other hand, some authors have reported that surgical treatment of catheter tract recurrence had no significant survival benefit.…”

Reappraisal of Percutaneous Transhepatic Biliary Drainage Tract Recurrence After Resection of Perihilar Bile Duct Cancer

“…This large-volume study, comparable to the number of patients in the reference study [1], showed that the risk of PTBD tract tumor recurrence after resection of perihilar BDC was much lower than previously reported. It was reported that the incidence of PTBD tract recurrence might be underestimated previously because PTBD catheterrelated metastasis can occur at various sites along its tract, including the skin, abdominal wall, chest wall, and liver parenchyma; and its early diagnosis is difficult [1,[10][11][12][13][14][15][16][17][18][19].…”

Solitary percutaneous transhepatic biliary drainage tract metastasis after curative resection of perihilar cholangiocarcinoma: report of a case

“… 1 In fact, it is not possible to estimate its actual incidence because their report is only one collective review from a large-volume center and others have presented sporadic cases so far. 1 7 8 9 10 11 12 13 14 15 16 According to our institutional experience, 4 5 its incidence is around 2%.…”