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Seeding of the percutaneous endoscopic gastrostomy site from head and neck carcinoma: case report and review of the literature.
Head Neck. 2013 Jul; 35(7):E209-12.HN

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 AND RESULTS

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.

Authors+Show Affiliations

Department of Medical Oncology, Cliniques universitaires St-Luc, Centre du cancer, Université Catholique de Louvain, Brussels, Belgium.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

22711678

Citation

Sinapi, I, et al. "Seeding of the Percutaneous Endoscopic Gastrostomy Site From Head and Neck Carcinoma: Case Report and Review of the Literature." Head & Neck, vol. 35, no. 7, 2013, pp. E209-12.
Sinapi I, Navez B, Hamoir M, et al. Seeding of the percutaneous endoscopic gastrostomy site from head and neck carcinoma: case report and review of the literature. Head Neck. 2013;35(7):E209-12.
Sinapi, I., Navez, B., Hamoir, M., Schmitz, S., Machiels, J. P., Deprez, P. H., & Van den Eynde, M. (2013). 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. https://doi.org/10.1002/hed.23015
Sinapi I, et al. Seeding of the Percutaneous Endoscopic Gastrostomy Site From Head and Neck Carcinoma: Case Report and Review of the Literature. Head Neck. 2013;35(7):E209-12. PubMed PMID: 22711678.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Seeding of the percutaneous endoscopic gastrostomy site from head and neck carcinoma: case report and review of the literature. AU - Sinapi,I, AU - Navez,B, AU - Hamoir,M, AU - Schmitz,S, AU - Machiels,J P, AU - Deprez,P H, AU - Van den Eynde,M, Y1 - 2012/06/19/ PY - 2012/02/28/accepted PY - 2012/6/20/entrez PY - 2012/6/20/pubmed PY - 2014/3/7/medline SP - E209 EP - 12 JF - Head & neck JO - Head Neck VL - 35 IS - 7 N2 - 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 AND RESULTS: 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. SN - 1097-0347 UR - https://www.unboundmedicine.com/medline/citation/22711678/Seeding_of_the_percutaneous_endoscopic_gastrostomy_site_from_head_and_neck_carcinoma:_case_report_and_review_of_the_literature_ DB - PRIME DP - Unbound Medicine ER -