医源性肿瘤腹壁种植转移五例分析.pdfVIP

介入放射学杂志2012 年 11 月第 21 卷第 11 期 J Intervent Radiol 2012 , Vo l.21 , N0.11 一-942一一 ·临床研究 Clinical research. 医源性肿瘤腹壁种植转移五例分析 贾中芝， 田丰， 王凯， 李绍钦，赵进委， 王云， 蒋利强， 蒋国民 [摘要] 目的 探讨医源J性肿瘤腹壁种植转移的诊断和治疗。方法 结合文献回顾性分析5 例医源 性肿瘤腹壁种植转移患者的临床诊疗过程及转归。结果 5 例患者中，原发癌为胆管癌 I 例，肝癌 4 例。 分别于医源性操作后42 - 94 d 发现腹壁种植转移， 1 例患者半年后国恶液质去世，种植转移灶较前稍增 大;2 例肝癌TACE 治疗的同时给予种植转移灶TACE 治疗，2 例种植转移灶给予局部放疗，4 例患者转 移灶均稳定，TACE 及放疗各有 1 例患者出现局部皮肤损伤。结论 医源性诊疗操作存在一定程度的肿 瘤腹壁种植转移的风险，结合病史、影像学、细胞学及病理检查可明确诊断，局部治疗具有一定优势，但对 于终末期患者在转移灶不影响生活质量的前提下可暂时给予观察。 [关键词] 医源性肿瘤种植;转移;治疗;预后 中图分类号:R735 文献标志、码:B 文章编号: 1008-794X(2012)- 1l -0942-03 Iatrogenic abdominal wal1 implantation and metastasis from the malignant tumors: an analysis of five cases ]IA Zhong-zhi , TIAN Feng , WANG Koi , LI Shω-qin ， ZHAO ]in- 町盯， WANG Yun , ]IANG Li- qiang , ]IANG Guo - min. Department of lnterventional Raaiography , the Affiliated Changzhou Second People s Hospi时， N(]J可ing Medical University , Changzhou 213003 , China Corγesponding aωhor: ]IANG Guo-min , E-mωl: j♂n916@163.com [Abstract] Objective To discuss the diagnosis and treatment of iatrogenic abdominal wall implantation and metastasis from malignant tumors. Methods Combined with literature review , the clinical data , including diagnosis , treatment course and outcomes , of five patients with iatrogenic abdominal wall implantation and metastasis from malignant tumors were retrospectively analyzed. Results The primary malignancies in the five patients included cholangiocarcinoma (n = 1) and hepatic carcinoma (n = 4). The abdominal wall implantation and metastasis from the primaηmalignant tumors occurred in the period vaηing from 42 to 94 days after the operative management. One patient died six months later due to cachexia , wit