@article{oai:toyama.repo.nii.ac.jp:00002340,
 author = {津田, 祐子 and 貫井, 裕次 and 霜田, 光義 and 塚田, 一博 and 坂東, 正 and 遠藤, 暢人 and 五箇, 猛一},
 issue = {5},
 journal = {日本消化器外科学会雑誌 : The Japanese journal of gastroenterological surgery},
 month = {May},
 note = {application/pdf, 経皮経肝胆道ドレナージ経路に転移再発をきたし,外科切除を含めた集学的治療を施行した胆嚢癌の1例を経験したので報告する.症例は55歳の女性.黄疸を主訴に近医入院し,PTCDが施行され,手術目的に当科紹介となった.胆嚢癌と診断し,肝床合併胆嚢切除,肝門部および肝外胆管切除,リンパ節郭清術を施行した.切除標本病理所見は高分化型腺癌でhm1,em2,t4,n0,H0,P0,M(-)総合的進行度はstage IVaであった.術後体外分割照射40GyおよびCDDP,5FUの化学療法を施行中,右前区域胆道ドレナージチューブの周囲皮下に転移再発が出現し,局所麻酔下に切除を行った.本形式の転移の可能性を念頭に置き,早期の発見と積極的な切除が有効な治療手段であると考えられた.
 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., Article},
 pages = {522--526},
 title = {経皮経肝胆道ドレナージ経路に播種性転移をきたした胆嚢癌の1例},
 volume = {35},
 year = {2002}
}