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Head and neck cancer metastasis to the percutaneous endoscopic gastrostomy (PEG) tube site: a report of two cases

Published online by Cambridge University Press:  11 November 2010

Matthew Johnson
Affiliation:
University of Missouri, Columbia, MO, USA
Aruna Turaka*
Affiliation:
Department of Radiation Oncology, Fox Chase Cancer Center, Philadelphia, PA, USA
Steven J. Feigenberg
Affiliation:
Department of Radiation Oncology, Fox Chase Cancer Center, Philadelphia, PA, USA University of Maryland School of Medicine, Baltimore, MD, USA
*
Correspondence to: Aruna Turaka, Department of Radiation Oncology, Fox Chase Cancer Center, Philadelphia, PA 19111, USA. E-mail: aruna.turaka@fccc.edu

Abstract

Objective: Percutaneous endoscopic gastrostomy (PEG) tube insertion is used as an alternative to surgical gastrostomy in patients with head and neck cancers for nutritional support.

Methods: We report two cases of head and neck cancer with metastasis to the surgical PEG tube site. The clinical and treatment-related details are discussed.

Conclusions: Metastasis to PEG tube site is a rare occurrence.

Type
Case Report
Copyright
Copyright © Cambridge University Press 2010

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References

Cappell, MS. Risk factors and risk reduction of malignant seeding of the percutaneous endoscopic gastrostomy track from pharyngoesophageal malignancy: a review of all 44 known reported cases. Am J Gastroenterol 2007; 102(6): 13071311.CrossRefGoogle ScholarPubMed
Maccabee, D, Sheppard, BC. Prevention of percutaneous endoscopic gastrostomy stoma metastases in patients with active oropharyngeal malignancy. Surg Endosc 2003; 17(10):1678.CrossRefGoogle ScholarPubMed
Cruz, I et al. Incidence of abdominal wall metastasis complicating PEG tube placement in untreated head and neck cancer. Gastrointest Endosc 2005; 62(5): 708711; quiz 752, 753.CrossRefGoogle ScholarPubMed
Douglas, JG, Koh, W, Laramore, GE. Metastasis to a percutaneous gastrostomy site from head and neck cancer: radiobiologic considerations. Head Neck 2000; 22(8): 826830.3.0.CO;2-P>CrossRefGoogle ScholarPubMed
Turaka, A et al. The use of a conventional Low Neck Field (LNF) and Intensity-Modulated Radiation Therapy (IMRT): no clinical detriment of IMRT to an anterior LNF during the treatment of head and neck cancer. Int J Radiat Oncol Biol Phys 2010:6.Google Scholar
Purandare, NC et al. Percutaneous endoscopic gastrostomy site metastases in head and neck cancer: use of FDG PET-CT. Diagn Interv Radiol 2008; 14(2): 8893.Google ScholarPubMed
Pickhardt, PJ, Rohrmann, CA Jr, Cossentino, MJ. Stomal metastases complicating percutaneous endoscopic gastrostomy: CT findings and the argument for radiologic tube placement. AJR Am J Roentgenol 2002; 179(3): 735739.CrossRefGoogle ScholarPubMed
Strodel, WE, Kenady, DE. Stomal seeding of head and neck cancer by percutaneous endoscopic gastrostomy (PEG) tube. Ann Surg Oncol 1995; 2(5): 462463.CrossRefGoogle ScholarPubMed
Hosseini, M, Lee, JG. Metastatic esophageal cancer leading to gastric perforation after repeat PEG placement. Am J Gastroenterol 1999; 94(9): 25562558.CrossRefGoogle ScholarPubMed
Ananth, S, Amin, M. Implantation of oral squamous cell carcinoma at the site of a percutaneous endoscopic gastrostomy: a case report. Br J Oral Maxillofac Surg 2002; 40(2): 125130.CrossRefGoogle ScholarPubMed