A Case of Catheter Tract Seeding after Percutaneous Transhepatic Cholangio Drainage for Gallbladder Carcinoma

Abstract

A 55-year-old woman with jaundice sent to our department for consultation after percutaneous transhepatic cholangio drainages (PTCD) was suspected of catheter tract seeding. We conducted cholecystectomy, liver bed resection, extra hepatic bile duct resection and lymph node dissection for gallbladder carcinoma of comprehensive stage IVa. We added postoperative radiation therapy and adjuvant chemotherapy with CDDP and 5FU. About a month later, a metastatic subcutaneous catheter tract seeding tumor found at the bile duct drainage catheter tract was extirpated. It is thus important to consider the possibility of such recurrence, with positive early resection as the treatment of choice.