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Seeding of the percutaneous endoscopic gastrostomy site from head and neck carcinoma: case report and review of the literature

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Sinapi, Isabelle Navez, Benoît [UCL] Hamoir, Marc [UCL] Schmitz, Sandra [UCL] Machiels, Jean-Pascal [UCL] Deprez, Pierre Henri [UCL] Van Den Eynde, Marc [UCL]

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.

Document type Article de périodique (Journal article) – Synthèse de littérature
Access type Accès restreint
Publication date 2013
Language Anglais
Journal information "Head & Neck : journal for the sciences and specialities of the head and neck" - Vol. 35, no.7, p. E209-E212 (2013)
Peer reviewed yes
Publisher JohnWiley & Sons, Inc. ((United States) Hoboken)
issn 1043-3074
e-issn 1097-0347
Publication status Publié
Affiliations UCL - SSS/IREC/MIRO - Pôle d'imagerie moléculaire, radiothérapie et oncologie
UCL - SSS/IREC/GAEN - Pôle d'Hépato-gastro-entérologie
UCL - SSS/IREC - Institut de recherche expérimentale et clinique
UCL - (SLuc) Unité d'oncologie médicale
UCL - (SLuc) Centre du cancer
UCL - (SLuc) Service d'oto-rhino-laryngologie
UCL - (SLuc) Service de gastro-entérologie et hépatologie pédiatrique
UCL - (SLuc) Service de chirurgie et transplantation abdominale
UCL - (SLuc) Service de médecine interne et maladies infectieuses (MIMI)
Keywords Percutaneous endoscopic gastrostomy ; Tumor seeding ; Head and neck squamous cell carcinoma ; Case report ; Review
Links
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Bibliographic reference Sinapi, Isabelle ; Navez, Benoît ; Hamoir, Marc ; Schmitz, Sandra ; Machiels, Jean-Pascal ; et. al. Seeding of the percutaneous endoscopic gastrostomy site from head and neck carcinoma: case report and review of the literature. In: Head & Neck : journal for the sciences and specialities of the head and neck, Vol. 35, no.7, p. E209-E212 (2013)
Permanent URL http://hdl.handle.net/2078.1/140356