Tumour seeding following percutaneous endoscopic gastrostomy placement in head and neck cancer.
We report the case of a patient with advanced squamous carcinoma of the supraglottic larynx and hypopharynx who developed metastatic gastric deposits occurring at the site of a percutaneous endoscopic gastrostomy tube, inserted 10 months previously by the pull technique. We review seven previous reports of tumour deposits occurring at the site of placement of a percutaneous endoscopic gastrostomy in patients with head and neck cancer, and consider alternative methods of enteral feeding in such patients.
Thorburn
D
D
Gastroenterology Unit, Western Infirmary, Glasgow, UK.
Karim
S N
SN
Soutar
D S
DS
Mills
P R
PR
D002294:Carcinoma, Squamous Cell / Q000556:secondary*; D005774:Gastrostomy / Q000009:adverse effects*; D006258:Head and Neck Neoplasms / Q000473:pathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009366:Neoplasm Seeding; D013274:Stomach Neoplasms / Q000556:secondary*