Cutherell L, Wanebo H J, Tegtmeyer C J
Cancer. 1986 May 15;57(10):2057-60. doi: 10.1002/1097-0142(19860515)57:10<2057::aid-cncr2820571030>3.0.co;2-3.
Percutaneous biliary drainage is frequently used to decompress obstruction of a malignant origin. The development of a tumor along the drainage tract is rare and has been reported only where the catheter has transgressed the obstruction. The authors report seeding of a percutaneous drainage tract after short-term decompression of obstructive jaundice in a patient who underwent curative resection for pancreatic carcinoma and in whom the catheter was not passed through the tumor. Exfoliated cancer cells in the bile duct are believed to be responsible. Caution is suggested in the use of percutaneous biliary drainage for temporary drainage in the patient who is a candidate for curative resection.
经皮胆道引流术常用于解除恶性梗阻。沿引流道发生肿瘤极为罕见，仅在导管越过梗阻部位时才有报道。本文作者报告了1例胰腺癌根治性切除术后接受短期梗阻性黄疸减压的患者，在未将导管穿过肿瘤的情况下，经皮引流道出现种植转移。据信，胆管内脱落的癌细胞是其原因。对于有可能接受根治性切除术的患者，在使用经皮胆道引流进行临时引流时应谨慎。
