title: Tumour seeding following percutaneous endoscopic gastrostomy placement in head and neck cancer.
abstract: 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.
authors.affiliation: Gastroenterology Unit, Western Infirmary, Glasgow, UK.
authors.forename: D
authors.initials: D
authors.lastname: Thorburn
authors.forename: S N
authors.initials: SN
authors.lastname: Karim
authors.forename: D S
authors.initials: DS
authors.lastname: Soutar
authors.forename: P R
authors.initials: PR
authors.lastname: Mills
mesh_terms: 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*