Abstract
We performed trans-luminal (per PTCD tube) chemotherapy and biopsy on a patient with inoperable, end-stage bile duct cancer. For chemotherapy, we used a needle tube for sclerotherapy of esophageal varices which can pass through PTCD tube and inject directly into a tumor (cholangiographical obstructive end point) under fluoroscopy. We also used a device for biopsy needle through PTCD tube to obtain a cytologic specimen. We repeated above procedure on the patient and finally obtained a recanalization of obstruction of bile duct cholangiographically with the patient's clinical improvement. No serious complication had been encountered.
We thought the procedure was effective for the patients with end-stage, advanced obstructive bile duct cancer. We present here methods of the procedure and one successful case.
