title: Metastasis of hypopharyngeal carcinoma into the gastrostomy tract after placement of a percutaneous endoscopic gastrostomy catheter.
abstract: Percutaneous endoscopic gastrostomy catheters are frequently placed in patients with pharyngeal tumors. In this article, we report a patient with a metastasis of a large hypopharyngeal carcinoma in the gastrostomy tract, probably caused by placement of a percutaneous endoscopic gastrostomy catheter by the pull method. The metastasis decreased considerably in size after high-dose radiation therapy (as had the original hypopharyngeal tumor). The patient subsequently had a curative resection of the residual metastatic tumor, but one month after the operation he died of a cerebrovascular accident.
authors.affiliation: Department of Gastroenterology, University Hospital, Utrecht, The Netherlands.
authors.forename: K J
authors.initials: KJ
authors.lastname: van Erpecum
authors.forename: W L
authors.initials: WL
authors.lastname: Akkersdijk
authors.forename: C C
authors.initials: CC
authors.lastname: Wárlám-Rodenhuis
authors.forename: G P
authors.initials: GP
authors.lastname: van Berge Henegouwen
authors.forename: T J
authors.initials: TJ
authors.lastname: van Vroonhoven
mesh_terms: D000009:Abdominal Muscles; D000368:Aged; D002277:Carcinoma / Q000556:secondary*; D002404:Catheterization; D016145:Endoscopy, Digestive System; D017809:Fatal Outcome; D005774:Gastrostomy; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000473:pathology*; D008297:Male; D009366:Neoplasm Seeding; D012878:Skin Neoplasms / Q000175:diagnosis / Q000556:secondary*; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000628:therapy