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膀胱癌经完全植入式静脉通路端口发生胸壁皮下转移:一种罕见的并发症

Subcutaneous Chest Wall Metastasis From Bladder Carcinoma Over the Totally Implantable Venous Access Port: A Rare Complication.

作者信息

Botaitis Sotirios, Stamos Charilaos, Perente Sempachedin

机构信息

First General Surgery Department, University Hospital of Alexandroupolis, Alexandroupolis, GRC.

Pathology Department, University Hospital of Alexandroupolis, Alexandroupolis, GRC.

出版信息

Cureus. 2024 Oct 1;16(10):e70598. doi: 10.7759/cureus.70598. eCollection 2024 Oct.

DOI:10.7759/cureus.70598
PMID:39483549
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11527510/
Abstract

A totally implantable venous access port (TIVAP) plays a main role in delivering chemotherapy to patients with cancer. A 70-year-old woman with bladder carcinoma presented with a mass over a port chamber of a TIVAP site. CT studies showed a mass surrounding the catheter near the port reservoir attached to the chest wall. The port was removed and the mass was biopsied. The pathology from the biopsy showed squamous cell carcinoma (SCC) from bladder carcinoma. We present a rare occurrence of chest wall metastasis at the site of a venous access port from primary bladder carcinoma.

摘要

全植入式静脉通路端口(TIVAP)在为癌症患者输送化疗药物方面发挥着主要作用。一名70岁的膀胱癌女性患者,在TIVAP部位的端口腔上方出现了一个肿块。CT检查显示,在附着于胸壁的端口储液器附近,导管周围有一个肿块。移除了端口并对肿块进行了活检。活检病理显示为膀胱癌的鳞状细胞癌(SCC)。我们报告了一例原发性膀胱癌经静脉通路端口部位发生胸壁转移的罕见病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8704/11527510/56af4dc39cee/cureus-0016-00000070598-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8704/11527510/d6eaeac2af0f/cureus-0016-00000070598-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8704/11527510/56af4dc39cee/cureus-0016-00000070598-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8704/11527510/d6eaeac2af0f/cureus-0016-00000070598-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8704/11527510/56af4dc39cee/cureus-0016-00000070598-i02.jpg

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本文引用的文献

1
Gastrointestinal stromal tumor metastasis at the site of a totally implantable venous access port insertion: A rare case report.完全植入式静脉输液港置入部位的胃肠道间质瘤转移:一例罕见病例报告
World J Clin Cases. 2020 Oct 26;8(20):5007-5012. doi: 10.12998/wjcc.v8.i20.5007.
2
Metastatic spread from squamous cell carcinoma of the hypopharynx to the totally implantable venous access port insertion site: Case report and review of literature.下咽鳞状细胞癌转移至完全植入式静脉输液港植入部位:病例报告及文献复习
Head Neck. 2017 Dec;39(12):E118-E122. doi: 10.1002/hed.24975. Epub 2017 Oct 9.
3
Complications after implantation of subcutaneous central venous ports (PowerPort).
皮下中心静脉港(PowerPort)植入后的并发症
Ann Med Surg (Lond). 2017 Mar 10;17:1-6. doi: 10.1016/j.amsu.2017.03.014. eCollection 2017 May.
4
Urothelial Carcinoma With Squamous Differentiation Is Associated With High Tumor Stage and Pelvic Lymph-Node Metastasis.伴有鳞状分化的尿路上皮癌与高肿瘤分期及盆腔淋巴结转移相关。
Cancer Control. 2017 Jan;24(1):78-82. doi: 10.1177/107327481702400113.
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Totally implantable venous access port systems and associated complications: A single-institution retrospective analysis of 2,996 breast cancer patients.完全植入式静脉通路端口系统及相关并发症:对2996例乳腺癌患者的单机构回顾性分析。
Mol Clin Oncol. 2016 Mar;4(3):456-460. doi: 10.3892/mco.2016.726. Epub 2016 Jan 7.
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Metastasis over implantable venous access ports.植入式静脉通路港转移。
Head Neck. 2013 Oct;35(10):E314-6. doi: 10.1002/hed.23161. Epub 2012 Sep 13.
7
[Metastatic tumor implantation from a primary cancer of the base of the tongue at the site of placement of a central venous portacath].[舌根部原发性癌在中心静脉输液港置入部位发生转移性肿瘤种植]
J Chir (Paris). 2009 Oct;146(5):503-5. doi: 10.1016/j.jchir.2009.09.013. Epub 2009 Oct 14.
8
Inflammation: a driving force speeds cancer metastasis.炎症:加速癌症转移的驱动力
Cell Cycle. 2009 Oct 15;8(20):3267-73. doi: 10.4161/cc.8.20.9699. Epub 2009 Oct 3.
9
Lung carcinoma metastasis at the site of central venous access.肺癌转移至中心静脉置管部位。
Chest. 1998 Dec;114(6):1772-4. doi: 10.1378/chest.114.6.1772.
10
Totally implanted system for intravenous chemotherapy in patients with cancer.用于癌症患者静脉化疗的完全植入式系统。
Am J Med. 1982 Dec;73(6):841-5. doi: 10.1016/0002-9343(82)90774-4.