Malignant Seeding of Percutaneous Endoscopic Gastrostomy Tract in Patient With Head and Neck Cancer

被引：10

作者：

Siddiqi, Anwer M. ^{[1
]}

Hamilton, Robert D. ^{[2
]}

Minocha, Anil ^{[3
]}

机构：

[1] Univ Mississippi, Med Ctr, Dept Pathol, Jackson, MS 39216 USA

[2] Univ Mississippi, Med Ctr, Dept Med, Jackson, MS 39216 USA

[3] Overton Brooks VA Med Ctr, Med Serv, Shreveport, LA 71101 USA

来源：

AMERICAN JOURNAL OF THE MEDICAL SCIENCES | 2008年 / 336卷 / 03期

关键词：

Perculaneous endoscopic gastronomy; Cancer metastasis; Head and neck cancer; Cancer of the PEG stroma; Complications;

D O I：

10.1097/MAJ.0b013e31815b60ba

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Malignant seeding of the percutaneous endoscopic gastrostomy (PEG) stoma is a rare and unusual complication of PEG performed in patients with head and neck cancer. Direct seeding of PEG stoma is believed to be the culprit. We present one such case of metastasis that lends support to an alternate hypothesis of vascular spread. First responders in such cases are usually not gastroenterologists and may include dieticians, primary care physicians, and radiologists. As such, we also provide pictures that would help the health care. providers recognize this rare entity and manage appropriately and promptly. Percutaneous endoscopic gastrostomy (PEG) is routinely performed as a means of nutritional support for patients undergoing chemoradiation and surgery for head and neck cancers. Recently, there have been concerns about a possible malignant seeding of the PEG track. A recent review documented a total of 44 cases in the literature.(1) it is widely believed that the seeding occurs as a result of direct invasion. We present a case of metastatic seeding of the PEG track and provide evidence for another plausible mechanism, ie, vascular dissemination.

引用

页码：291 / 292

页数：2