Metastasis of Hypopharyngeal Carcinoma into the Gastrostomy Tract After Placement of a Percutaneous Endoscopic Gastrostomy Catheter

K. J. van Erpecum; W. L. Akkersdijk; C. C. Wárlám-Rodenhuis; G. P. van Berge Henegouwen; T. J. M. V. van Vroonhoven

doi:10.1055/s-2007-1005646

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Endoscopy 1995; 27(1): 124-127
DOI: 10.1055/s-2007-1005646

Case Report

Metastasis of Hypopharyngeal Carcinoma into the Gastrostomy Tract After Placement of a Percutaneous Endoscopic Gastrostomy Catheter

K. J. van Erpecum¹ , W. L. Akkersdijk² , C. C. Wárlám-Rodenhuis³ , G. P. van Berge Henegouwen¹ , T. J. M. V. van Vroonhoven²

¹Department of Gastroenterology, University Hospital, Utrecht, The Netherlands
²Department of Surgery, University Hospital, Utrecht, The Netherlands
³Department of Radiotherapy, University Hospital, Utrecht, The Netherlands

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Publication Date:
17 March 2008 (online)

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Abstract

Percutaneous endoscopic gastrostomy catheters are frequently placed in patients with pharyngeal tumors. In this article, we report a patient with a metastasis of a large hypopharyngeal carcinoma in the gastrostomy tract, probably caused by placement of a percutaneous endoscopic gastrostomy catheter by the pull method. The metastasis decreased considerably in size after high-dose radiation therapy (as had the original hypopharyngeal tumor). The patient subsequently had a curative resection of the residual metastatic tumor, but one month after the operation he died of a cerebrovascular accident.

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