[Implantation metastasis at the exit site after percutaneous endoscopic gastrostomy in esophageal carcinoma].
In patients with esophageal cancer causing obstruction percutaneous endoscopic gastrostomy (PEG) is a well-established procedure with a low complication rate to provide sufficient enteral nutrition. We report on a 68-year-old patient suffering from inoperable squamous cell cancer of the proximal esophagus, who underwent PEG insertion prior to a combined radiochemotherapy. Initially bougienage was performed because of subtotal esophageal stenosis. Four months later a metastasis was found at the PEG exit site with involvement of the gastric wall, most likely caused by spread of tumor cells during insertion of the PEG.
Deinzer
M
M
Abteilung für Strahlentherapie, Radiologische Universitätsklinik, Universitätskliniken des Saarlandes, Homburg/Saar.
Menges
M
M
Walter
K
K
Püschel
W
W
Braun
A
A
Niewald
M
M
Motaref
B
B
Schnabel
K
K
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000556:secondary* / Q000628:therapy; D004750:Enteral Nutrition / Q000295:instrumentation*; D004938:Esophageal Neoplasms / Q000628:therapy*; D005500:Follow-Up Studies; D005774:Gastrostomy / Q000295:instrumentation*; D006801:Humans; D008297:Male; D009366:Neoplasm Seeding; D010166:Palliative Care; D012878:Skin Neoplasms / Q000473:pathology / Q000556:secondary*; D013274:Stomach Neoplasms / Q000473:pathology / Q000556:secondary* / Q000628:therapy