R. Loew et al., SUBCUTANEOUS IMPLANTATION METASTASIS OF A CHOLANGIOCARCINOMA OF THE BILE-DUCT AFTER PERCUTANEOUS TRANSHEPATIC BILIARY DRAINAGE (PTBD), European radiology, 7(2), 1997, pp. 259-261
Percutaneous transhepatic biliary drainage (PTBD) is the basis for mos
t biliary interventional procedures. We recently observed the occurren
ce of a subcutaneous implantation metastasis after PTBD in a patient w
ith incurable cholangiocarcinoma. Although tumor cell seeding along th
e catheter tract is a very rare complication, we think that PTBD shoul
d be avoided when curative resection is planned.