BMJ Case Reports 2017; doi:10.1136/bcr-2017-219864

Isolated implant metastasis in chest wall due to seeding of transpleurally placed PTBD catheter tract in a case of hilar cholangiocarcinoma

  1. Suvradeep Mitra2
  1. 1 Department of General Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India
  2. 2 Department of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Dr Shibojit Talukder, shibojitsplace{at}
  • Accepted 23 March 2017
  • Published 18 April 2017


Percutaneous transhepatic biliary drainage (PTBD) catheter site metastasis in cases of cholangiocarcinoma is reported sporadically. But it is unusual to see left-sided tumour metastasising to the right PTBD catheter site. Metastasis, in general, has a poor prognosis, but recurrence along the catheter tract in the absence of other systemic diseases can be a different scenario altogether. To date, there is no consensus on the management of this form of metastasis. But carefully selected patients can benefit from aggressive surgical resection. We report a case of a young patient with isolated chest wall metastasis 1 year after resection of left-sided hilar cholangiocarcinoma. The metastasis was resected and, on pathological analysis, was confirmed to be due to implantation of malignant cells along the tract of the PTBD catheter placed via a transpleural route.


  • Contributors ST, CT and SM were involved in data acquisition, analysis and concept designing of the manuscript. ST and CT together drafted and revised it, while AB and SM provided intellectual input in writing the manuscript. ST and AB approved the version of the manuscript to be published. ST is accountable for the authenticity and accuracy of the article.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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