Seeding of the percutaneous endoscopic gastrostomy site from head and neck carcinoma: case report and review of the literature.
Head Neck
; 35(7): E209-12, 2013 Jul.
Article
en En
| MEDLINE
| ID: mdl-22711678
ABSTRACT
BACKGROUND:
Percutaneous endoscopic gastrostomy (PEG) is a relatively safe procedure and is an important supportive treatment for patients with advanced head and neck cancer. Although tumor seeding has been reported in various sites, seeding at the PEG exit site is a rare complication. METHODS ANDRESULTS:
We describe a clinical case in which squamous cell carcinoma of the hypopharynx implanted at the site of PEG insertion and was successfully removed by surgery. PEG was previously placed by the "pull" technique. A review of the literature, discussion of the mechanism of spread, and recommendations to avoid this complication are discussed.CONCLUSIONS:
To avoid this rare and poor prognostic complication, the "pull" technique should be avoided for PEG placement in any patient with head and neck squamous cell carcinoma. An alternative method such as the "push" technique should be preferred.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Neoplasias Gástricas
/
Gastrostomía
/
Carcinoma de Células Escamosas
/
Neoplasias Hipofaríngeas
/
Siembra Neoplásica
Tipo de estudio:
Guideline
/
Prognostic_studies
Idioma:
En
Revista:
Head Neck
Asunto de la revista:
NEOPLASIAS
Año:
2013
Tipo del documento:
Article