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KMID : 0371320000590020281
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Journal of the Korean Surgical Society
2000 Volume.59 No. 2 p.281 ~ p.285
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Subcutaneous Metastasis at the PTBD Catheter Insertion Site in Bile-duct Carcinomas -Report of two cases-
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임동표/Dong Pyo Lim
구원회/노정호/조철균/김현종/Won Hoe Koo/Jung Ho Roh/Chol Kyoon Cho/Hyun Jong Kim
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Abstract
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Percutaneous transhepatic biliary drainage (PTBD) is the basis for most biliary interventional procedures, and the application of preoperative PTBD to patients who have malignant obstructive jaundice has a significant effect on overall morbidity,
mortality, and patient survival by allowing selective application of the most appropriate therapeutic modality. There are few case reports on subcutaneous metastasis of bile-duct cancer. We recently observed a subcutaneous metastasis at the
catheter
insertion site after PTBD in two patients with bile-duct cancer. Although tumor-cell seeding along the catheter tract is a very rare complication, we think that PTBD requires more attention when a curative resection is planned.
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