Alessiani M, Vai L, Jemos V, Dionigi P, Spada M, Porta C, Moroni M, Nastasi G, Fossati G S, Zonta A
Department of Surgery and Medical Therapeutics, University of Pavia, Italy.
Hepatogastroenterology. 1998 Jan-Feb;45(19):206-8.
A 61-year-old cirrhotic patient underwent hepatic resection for hepatocellular carcinoma and placement of a total implantable access port system in the hepatic artery for chemotherapy infusion. A year later, he developed a parietal metastasis at the port site as a consequence of tumor seeding along the arterial catheter. The metastasis was excised but the patient died because of disseminated disease two years after the first operation. Tumor seeding along the catheter should be included in the group of potential complications after placement of total implantable access port systems for intrahepatic chemotherapy The possible causes of this rare but life-threatening complication are discussed.
一名61岁的肝硬化患者接受了肝细胞癌肝切除术，并在肝动脉中植入了全植入式接入端口系统用于化疗输注。一年后，由于肿瘤沿动脉导管播散，他在端口部位出现了壁层转移。转移灶被切除，但患者在首次手术后两年因疾病播散死亡。在为肝内化疗植入全植入式接入端口系统后，沿导管的肿瘤播散应被纳入潜在并发症之列。本文讨论了这种罕见但危及生命的并发症的可能原因。
