Seeding of the percutaneous endoscopic gastrostomy site from head and neck carcinoma: Case report and review of the literature. Issue 7 (19th June 2012)

• Record Type: Journal Article
• Authors: Sinapi, I.; Navez, B.; Hamoir, M.; Schmitz, S.; Machiels, J. P.; Deprez, P. H.; Van den Eynde, M.; Andersen, Peter
• Is Part Of: Head & neck. Volume 35:Issue 7(2013:Jul.)
• Page Start: E209
• Page End: E212
• Publication Date: 2012-06-19
• Subjects: Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.23015
• Languages: English
• ISSNs: 1043-3074

Abstract

<abstract abstract-type="main" xml:lang="en"> <title>Abstract</title> <sec id="abs1-1" sec-type="section"> <title>Background</title> <p>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.</p> </sec> <sec id="abs1-2" sec-type="section"> <title>Methods and Results</title> <p>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.</p> </sec> <sec id="abs1-3" sec-type="section"> <title>Conclusions</title> <p>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. © 2012 Wiley Periodicals, Inc. Head Neck, 2013</p> </sec> </abstract>