Metastasis of carcinosarcoma of oesophagus to gastrostomy site.
Patients with head and neck cancers need a percutaneous endoscopic gastrosotomy (PEG) before start of treatment to ensure adequate nutrition because worsening dysphagia during chemo radiation [Nicholson FB, Korman MG, Richardson MA. Percutaneous endoscopic gastrostomy: a review of indications, complications and outcome. J. Gastroenterol Hepatol 2000; 15: 21-5; Beer KT, Krause KB, Zuercher T, Stanga Z. Early percutaneous endoscopic gastrostomy insertion maintains nutritional state in patients with aerodigestive tract cancer. Nutr Cancer 2005; 52: 29-34.]. However implantation of original tumor to the gastrostomy exit site is rare but serious complication of this procedure and here we report a case of PEG site metastasis along with relevant review of literature.
Hameed
Hassan
H
Department of Medicine, Shakat Khanum Memorial Cancer Hospital, Lahore, Pakistan. hameed142@hotmail.com
Khan
Yakub Iqbal
YI
D002296:Carcinosarcoma / Q000473:pathology / Q000556:secondary*; D017024:Chemotherapy, Adjuvant; D018450:Disease Progression; D004938:Esophageal Neoplasms / Q000473:pathology*; D005500:Follow-Up Studies; D005773:Gastroscopy / Q000009:adverse effects; D005774:Gastrostomy / Q000009:adverse effects; D006801:Humans; D008297:Male; D020360:Neoadjuvant Therapy; D018714:Radiotherapy, Adjuvant; D013274:Stomach Neoplasms / Q000473:pathology / Q000556:secondary*; D055815:Young Adult