Cholangiocarcinoma Seeding along a Ventriculoperitoneal Shunt Catheter: A Rare Initial Manifestation

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorMORAIS, Barbara Albuquerque
dc.contributor.authorIGLESIO, Ricardo Ferrareto
dc.contributor.authorPETITTO, Carlo Emanuel
dc.contributor.authorPINTO, Fernando Campos Gomes
dc.contributor.authorTEIXEIRA, Manoel Jacobsen
dc.date.accessioned2018-03-06T15:17:16Z
dc.date.available2018-03-06T15:17:16Z
dc.date.issued2017
dc.description.abstractCholangiocarcinoma accounts for less than 2% of all malignant neoplasms. Its cutaneous metastases are extremely rare, accounting for 0.0002% of all cases. The ventriculoperitoneal (VP) shunt has been considered a potential route for tumor dissemination. This type of tumor proliferation has been well documented in patients with intra-abdominal metastases secondary to brain tumors and, less frequently, brain metastases secondary to intra-abdominal tumors. In spite of that, there are few reports of cutaneous metastases along the VP shunt catheter trajectory. We present the case of a cholangiocarcinoma cutaneous metastasis at the VP shunt trajectory as the first clinical sign of this type of tumor. The patient had undergone the shunt insertion 4 years earlier due to a hydrocephaly secondary to a subarachnoid hemorrhage. After diagnosis, she was referred to chemotherapy and oncology follow-up. In the literature, 30 cases of cutaneous metastasis of cholangiocarcinoma were reported. Dissemination has been described involving percutaneous biliary drainage and distant sites. However, the case presented in this study alerts us about the possibility of cutaneous metastasis of intra-abdominal tumors in the trajectory of VP shunt catheters.
dc.description.indexWoS
dc.identifier.citationBRAZILIAN NEUROSURGERY-ARQUIVOS BRASILEIROS DE NEUROCIRURGIA, v.36, n.4, p.243-246, 2017
dc.identifier.doi10.1055/s-0037-1607343
dc.identifier.eissn2359-5922
dc.identifier.issn0103-5355
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/25601
dc.language.isoeng
dc.publisherGEORG THIEME VERLAG KG
dc.relation.ispartofBrazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia
dc.rightsopenAccess
dc.rights.holderCopyright GEORG THIEME VERLAG KG
dc.subjectcholangiocarcinoma
dc.subjectventriculoperitoneal shunt
dc.subjectcutaneous metastasis
dc.subject.othercutaneous metastasis
dc.subject.wosSurgery
dc.titleCholangiocarcinoma Seeding along a Ventriculoperitoneal Shunt Catheter: A Rare Initial Manifestation
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.contributor.author-fmusphcBARBARA ALBUQUERQUE MORAIS
hcfmusp.contributor.author-fmusphcRICARDO FERRARETO IGLESIO
hcfmusp.contributor.author-fmusphcCARLO EMANUEL PETITTO
hcfmusp.contributor.author-fmusphcFERNANDO CAMPOS GOMES PINTO
hcfmusp.contributor.author-fmusphcMANOEL JACOBSEN TEIXEIRA
hcfmusp.description.beginpage243
hcfmusp.description.endpage246
hcfmusp.description.issue4
hcfmusp.description.volume36
hcfmusp.origemWOS
hcfmusp.origem.wosWOS:000418561300009
hcfmusp.publisher.citySTUTTGART
hcfmusp.publisher.countryGERMANY
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