J Korean Soc Radiol.  2014 Nov;71(5):235-238. 10.3348/jksr.2014.71.5.235.

Implantation of Lung Cancer along the Tube Tract after Pericardiotomy for Malignant Pericardial Effusion: A Case Report

• Kim JY
• Han DH

• KMID: 2208792
• DOI: http://doi.org/10.3348/jksr.2014.71.5.235

Abstract

Tube tract implantation metastasis of non-small cell lung cancer is an extremely rare complication of surgical pericardiotomy. We report a case of tube tract seeding along the previous chest tube tract in the subxiphoid region. The subxiphoid tube tract seeding was created during pericardial window operation of a 48-year-old male patient with lung cancer for the drainage of malignant pericardial effusion.

MeSH Terms

Carcinoma, Non-Small-Cell Lung
Chest Tubes
Drainage
Humans
Lung Neoplasms*
Male
Middle Aged
Neoplasm Metastasis
Pericardial Effusion*
Pericardiectomy*

Figure

• 

  Fig. 1 Chest PA taken immediately after pericardial window operation. Two indwelling chest tubes are inserted via subxiphoid (arrows) and intercostal routes, respectively (A). Chest CT obtained 12 days after surgery reveals linear arrayed soft tissue density nodules along the tract of the subxiphoid chest tube (removed) (B). CT obtained 1 month after surgery reveals remarkable interval growth of the seeded nodules and progression of pericardial nodular thickening (C). Post-chemotherapy CT (3 months after surgery) shows marked regression of the seeded nodules and the pericardial thickenings (D).

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