Skip to main content
Postgraduate Medical Journal logoLink to Postgraduate Medical Journal
. 1997 Jul;73(861):430–432. doi: 10.1136/pgmj.73.861.430

Tumour seeding following percutaneous endoscopic gastrostomy placement in head and neck cancer.

D Thorburn 1, S N Karim 1, D S Soutar 1, P R Mills 1
PMCID: PMC2431414  PMID: 9338033

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.

Full text

PDF
430

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Alagaratnam T. T., Ong G. B. Wound implantation--A surgical hazard. Br J Surg. 1977 Dec;64(12):872–875. doi: 10.1002/bjs.1800641211. [DOI] [PubMed] [Google Scholar]
  2. Bushnell L., White T. W., Hunter J. G. Metastatic implantation of laryngeal carcinoma at a PEG exit site. Gastrointest Endosc. 1991 Jul-Aug;37(4):480–482. doi: 10.1016/s0016-5107(91)70787-6. [DOI] [PubMed] [Google Scholar]
  3. Gibson S., Wenig B. L. Percutaneous endoscopic gastrostomy in the management of head and neck carcinoma. Laryngoscope. 1992 Sep;102(9):977–980. doi: 10.1288/00005537-199209000-00004. [DOI] [PubMed] [Google Scholar]
  4. Huang D. T., Thomas G., Wilson W. R. Stomal seeding by percutaneous endoscopic gastrostomy in patients with head and neck cancer. Arch Otolaryngol Head Neck Surg. 1992 Jun;118(6):658–659. doi: 10.1001/archotol.1992.01880060108022. [DOI] [PubMed] [Google Scholar]
  5. Hussain A., Woolfrey S., Massey J., Geddes A., Cox J. Percutaneous endoscopic gastrostomy. Postgrad Med J. 1996 Oct;72(852):581–585. doi: 10.1136/pgmj.72.852.581. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Kotwall C., Sako K., Razack M. S., Rao U., Bakamjian V., Shedd D. P. Metastatic patterns in squamous cell cancer of the head and neck. Am J Surg. 1987 Oct;154(4):439–442. doi: 10.1016/0002-9610(89)90020-2. [DOI] [PubMed] [Google Scholar]
  7. Laccourreye O., Chabardes E., Mérite-Drancy A., Carnot F., Renard P., Donnadieu S., Brasnu D. Implantation metastasis following percutaneous endoscopic gastrostomy. J Laryngol Otol. 1993 Oct;107(10):946–949. doi: 10.1017/s0022215100124879. [DOI] [PubMed] [Google Scholar]
  8. Lee D. S., Mohit-Tabatabai M. A., Rush B. F., Jr, Levine C. Stomal seeding of head and neck cancer by percutaneous endoscopic gastrostomy tube placement. Ann Surg Oncol. 1995 Mar;2(2):170–173. doi: 10.1007/BF02303634. [DOI] [PubMed] [Google Scholar]
  9. Meurer M. F., Kenady D. E. Metastatic head and neck carcinoma in a percutaneous gastrostomy site. Head Neck. 1993 Jan-Feb;15(1):70–73. doi: 10.1002/hed.2880150116. [DOI] [PubMed] [Google Scholar]
  10. Preyer S., Thul P. Gastric metastasis of squamous cell carcinoma of the head and neck after percutaneous endoscopic gastrostomy--report of a case. Endoscopy. 1989 Nov;21(6):295–295. doi: 10.1055/s-2007-1012974. [DOI] [PubMed] [Google Scholar]
  11. Rosenzweig T. B., Palestrant A. M., Esplin C. A., Gilsdorf R. B. A method for radiologic-assisted gastrostomy when percutaneous endoscopic gastrostomy is contraindicated. Am J Surg. 1994 Dec;168(6):587–591. doi: 10.1016/s0002-9610(05)80127-8. [DOI] [PubMed] [Google Scholar]
  12. Russell T. R., Brotman M., Norris F. Percutaneous gastrostomy. A new simplified and cost-effective technique. Am J Surg. 1984 Jul;148(1):132–137. doi: 10.1016/0002-9610(84)90300-3. [DOI] [PubMed] [Google Scholar]
  13. Schiano T. D., Pfister D., Harrison L., Shike M. Neoplastic seeding as a complication of percutaneous endoscopic gastrostomy. Am J Gastroenterol. 1994 Jan;89(1):131–133. [PubMed] [Google Scholar]

Articles from Postgraduate Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES