Puncture-site metastasis in a radiologically inserted gastrostomy tube: case report and literature review.
Gastrostomy-site metastases from head and neck cancer have been reported numerous times following endoscopic insertion, with direct implantation being implicated. We present the first reported case of gastrostomy-site metastasis following radiological insertion, and discuss the mechanisms by which this may have occurred. These include: direct implantation, hematogenous dissemination, or the natural shedding of tumor cells into the gastrointestinal tract.
Hawken
R M A
RM
Department of ENT Surgery, Derriford Hospital, Plymouth, Devon, UK.
Williams
R W
RW
Bridger
M W M
MW
Lyons
C B A
CB
Jackson
S A
SA
D000008:Abdominal Neoplasms / Q000473:pathology / Q000556:secondary*; D034861:Abdominal Wall / Q000473:pathology*; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000556:secondary*; D005471:Fluoroscopy; D005774:Gastrostomy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D009366:Neoplasm Seeding; D011677:Punctures / Q000009:adverse effects*; D015641:Radiography, Interventional; D014062:Tongue Neoplasms / Q000473:pathology