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Recurrent metastatic spread to a percutaneous gastrostomy site in a patient with squamous cell carcinoma of the tongue: a case report and review of the literature.
J Oral Maxillofac Surg. 2014 Apr; 72(4):829-32.JO

Abstract

Patients diagnosed with head and neck squamous cell cancer (HNSCC) frequently develop dysphagia and odynophagia owing to advancing disease or as a result of medical interventions. Selected patients diagnosed with advanced HNSCC may require the insertion of a percutaneous endoscopic gastrostomy (PEG) tube as part of their management. During the past 2 decades, there have been increasing reports describing tumor seeding at the PEG exit site, which have caused controversy relating to the technique used in PEG insertion. Although PEG placement is considered a safe procedure for patients with advanced head and neck cancer, the method can lead to tumor seeding, probably from direct traumatic tumor shedding. This report describes a case of tumor implantation at the PEG site in a patient with an advanced SCC of the tongue, with a review of the available literature concerning this rare condition and its possible pathogenesis.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Nevler A
Resident, Department of Surgery and Transplantation, Chaim Sheba Medical Center, Tel-Hashomer, Israel, affiliated to the Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel; The Dr. Pinchas Borenstein Talpiot Medical Leadership Program 2012, Chaim Sheba Medical Center, Tel-Hashomer, Israel. Electronic address: Avinoam.Nevler@sheba.health.gov.il.
Gluck I
Director of Head and Neck Service, Radiotherapy Unit, Institute of Oncology, Chaim Sheba Medical Center, Tel-Hashomer, Israel.
Balint-Lahat N
Resident, Department of Pathology, Chaim Sheba Medical Center, Tel-Hashomer, Israel.
Rosin D
Senior Surgeon, Department of Surgery and Transplantation, Chaim Sheba Medical Center, Tel-Hashomer, Israel.

MeSH

Abdominal MusclesAbdominal NeoplasmsCarcinoma, Squamous CellEnteral NutritionFemaleFollow-Up StudiesGastrostomyHumansMiddle AgedNeoadjuvant TherapyNeoplasm InvasivenessNeoplasm Recurrence, LocalNeoplasm SeedingNeoplasm StagingReoperationTongue Neoplasms

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

24480766

Citation

Nevler, Avinoam, et al. "Recurrent Metastatic Spread to a Percutaneous Gastrostomy Site in a Patient With Squamous Cell Carcinoma of the Tongue: a Case Report and Review of the Literature." Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, vol. 72, no. 4, 2014, pp. 829-32.
Nevler A, Gluck I, Balint-Lahat N, et al. Recurrent metastatic spread to a percutaneous gastrostomy site in a patient with squamous cell carcinoma of the tongue: a case report and review of the literature. J Oral Maxillofac Surg. 2014;72(4):829-32.
Nevler, A., Gluck, I., Balint-Lahat, N., & Rosin, D. (2014). Recurrent metastatic spread to a percutaneous gastrostomy site in a patient with squamous cell carcinoma of the tongue: a case report and review of the literature. Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 72(4), 829-32. https://doi.org/10.1016/j.joms.2013.10.024
Nevler A, et al. Recurrent Metastatic Spread to a Percutaneous Gastrostomy Site in a Patient With Squamous Cell Carcinoma of the Tongue: a Case Report and Review of the Literature. J Oral Maxillofac Surg. 2014;72(4):829-32. PubMed PMID: 24480766.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Recurrent metastatic spread to a percutaneous gastrostomy site in a patient with squamous cell carcinoma of the tongue: a case report and review of the literature. AU - Nevler,Avinoam, AU - Gluck,Iris, AU - Balint-Lahat,Nora, AU - Rosin,Danny, Y1 - 2013/11/16/ PY - 2013/09/02/received PY - 2013/10/30/revised PY - 2013/10/30/accepted PY - 2014/2/1/entrez PY - 2014/2/1/pubmed PY - 2014/6/6/medline SP - 829 EP - 32 JF - Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons JO - J Oral Maxillofac Surg VL - 72 IS - 4 N2 - Patients diagnosed with head and neck squamous cell cancer (HNSCC) frequently develop dysphagia and odynophagia owing to advancing disease or as a result of medical interventions. Selected patients diagnosed with advanced HNSCC may require the insertion of a percutaneous endoscopic gastrostomy (PEG) tube as part of their management. During the past 2 decades, there have been increasing reports describing tumor seeding at the PEG exit site, which have caused controversy relating to the technique used in PEG insertion. Although PEG placement is considered a safe procedure for patients with advanced head and neck cancer, the method can lead to tumor seeding, probably from direct traumatic tumor shedding. This report describes a case of tumor implantation at the PEG site in a patient with an advanced SCC of the tongue, with a review of the available literature concerning this rare condition and its possible pathogenesis. SN - 1531-5053 UR - https://www.unboundmedicine.com/medline/citation/24480766/Recurrent_metastatic_spread_to_a_percutaneous_gastrostomy_site_in_a_patient_with_squamous_cell_carcinoma_of_the_tongue:_a_case_report_and_review_of_the_literature_ DB - PRIME DP - Unbound Medicine ER -