Stomal Seeding by Percutaneous Endoscopic Gastrostomy in Patients With Head and Neck Cancer

Does feeding tube placement predict for long‐term swallowing disability after radiotherapy for head and neck cancer?

“…Distribution according to the type of feeding tube was nasogastric, 60 patients (6%), and gastrostomy, 175 patients (19%). No patient who underwent a gastrostomy had a recurrence at the gastrostomy site, an unlikely event caused by seeding that has been described in other published reports 40–42. After gastrostomy feeding tube placement became available at our institution in the 1980s, nasogastric feeding tube placement gradually became less common; none have been placed after December 1997 (Table 2).…”

Percutaneous Endoscopic Gastrostomy: Strategies for Prevention and Management of Complications

“…A review of the literature revealed a total of 9 cases of documented PEG site metastasis from head and neck cancers, 23,24,28–33 with the present case bringing the total to 10. The true incidence may be underestimated, because it may go unrecognized in patients who have succumbed to other causes before the clinical detection of metastasis.…”

Head and neck cancer implantation at the percutaneous endoscopic gastrostomy exit site

“…Seven of 12 patients had synchronous lesions at the time of diagnosis of the percutaneous endoscopic gastrostomy site lesion; five were pulmonary [3,13,14,17], one hepatic [9], and one had evidence of metastatic disease in the gastrohepatic and gastrosplenic ligaments as well as in the cul-desac [10]. However, in three cases, including the current case, no evidence of metastatic disease was found at the time of percutaneous endoscopic gastrostomy site recurrence [23,24], and an additional two cases did not mention the presence or absence of synchronous lesions at the time of stomal recurrence [7,22].…”