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外科应用各种不同导管(包括T 形管、Y 形管等)治疗不能手术切除的胆管癌,其并发症包括管腔阻塞和皮肤感染,而肿瘤沿着引流管种植到皮肤开口处是极少见的并发症。以前报告过三例在经皮肝穿胆汁引流管开口处皮下种植的病例:其中二例是胰腺癌,一例为胆管癌。本文首次报导了一例74岁男性病人,因胆管癌行姑息性手术治疗后30个月沿“T”管发生的如霉菌生长样的皮肤转移癌,其组织学改变与原发胆管癌一致。留置“T”管或经皮肝穿引流管可以明显减少病人痛苦,为了防止管腔阻塞或由于管腔已阻塞常
Surgical use of various catheters (including T-tubes, Y-tubes, etc.) for the treatment of non-surgical cholangiocarcinoma, its complications include obstruction of the lumen and infection of the skin, and very few tumors along the drainage tube planted into the skin opening See the complications. Three cases of subcutaneous implantation at the percutaneous transhepatic bile duct drainage were previously reported: two of them were pancreatic cancer and one was cholangiocarcinoma. This article presents the first report of a case of a 74-year-old male patient with metastatic, fungal-like skin metastases that developed along the “T” tube 30 months after palliative surgical treatment for cholangiocarcinoma. His histological changes were consistent with primary cholangiocarcinoma. Indwelling “T” or percutaneous drainage catheters can significantly reduce patient suffering, in order to prevent obstruction of the lumen or due to obstruction of the lumen