Abstract
Abstract: The treatment of a 69‐year‐old woman with obstructive jaundice due to the direct invasion of metustutic lymph nodes by gastric cancer at the porta hepatis is reported. In this case topical infusion chemotherapy via a percutaneous biliary drainage (PTBD) catheter with Cis‐Diammine Dichloro‐Platinum (CDDP) plus Adriamycin (ADM) was found to be an effective treatment to achieve internal biliary drainage with the aid of a percutuneous transhepatic cholangioscopy. This result, in our opinion, suggests that the topical use of anti‐tumor agents via a PTBD catheter might be considered an option for the treatment of patients with incurable malignant biliary obstruction.
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