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Titolo:
Metastasis of head and neck carcinoma to the site of percutaneous endoscopic gastrostomy: Case report and literature review
Autore:
Sinclair, JJ; Scolapio, JS; Stark, ME; Hinder, RA;
Indirizzi:
Mayo Clin, Div Gastroenterol & Hepatol, Jacksonville, FL 32224 USA Mayo Clin Jacksonville FL USA 32224 & Hepatol, Jacksonville, FL 32224 USA Mayo Clin, Dept Surg, Jacksonville, FL 32224 USA Mayo Clin Jacksonville FL USA 32224 Dept Surg, Jacksonville, FL 32224 USA
Titolo Testata:
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION
fascicolo: 5, volume: 25, anno: 2001,
pagine: 282 - 285
SICI:
0148-6071(200109/10)25:5<282:MOHANC>2.0.ZU;2-T
Fonte:
ISI
Lingua:
ENG
Soggetto:
SQUAMOUS-CELL CARCINOMA; EXIT SITE; IMPLANTATION METASTASIS; SURGICAL STRESS; CANCER; PLACEMENT; COMPLICATION; TRACT; TUBES; PUSH;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
34
Recensione:
Indirizzi per estratti:
Indirizzo: Scolapio, JS Mayo Clin, Div Gastroenterol & Hepatol, 4500 San Pablo Rd, Jacksonville, FL 32224 USA Mayo Clin 4500 San Pablo Rd Jacksonville FL USA 32224 224 USA
Citazione:
J.J. Sinclair et al., "Metastasis of head and neck carcinoma to the site of percutaneous endoscopic gastrostomy: Case report and literature review", J PARENT EN, 25(5), 2001, pp. 282-285

Abstract

Background. Patients with head and neck cancer often need a percutaneous endoscopic gastrostomy to provide adequate nutrition because of inability toswallow after tumor radiation therapy. However, metastasis of the originaltumor to the gastrostomy exit site may occur. Methods. We describe the case of a 61-year-old man with stage III (T2 N1) squamous cell carcinoma of the tongue in whom a PEG tube was placed to circumvent anticipated difficulties in swallowing after radiation therapy. We also compare this case with similar cases in the literature. Results'. Soreness and erythema near the gastrostomy site reported by the patient were diagnosed as cellulitis, and twocourses of antibiotic treatment were prescribed. However, a biopsy showed that the original squamous cell carcinoma bad metastasized to the gastrostomy exit site. The "pull" method of tube placement had been used in this patient and in all 19 cases of metastasis reported in the literature. Conclusions: Metastatic cancer should be considered in patients with head and neck cancer who have unexplained skin changes at the gastrostomy site. Our experience with this case and review of the literature indicate that, in patients with head and neck cancer, "pull" procedures for placement of gastrostomytubes may induce metastasis by direct implantation of tumor cells because of contact between the gastrostomy tube and tumor cells. Methods of tube insertion that avoid such contact are preferred.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 08/04/20 alle ore 12:03:51