Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
4103332 | American Journal of Otolaryngology | 2012 | 5 Pages |
Abstract
Metastatic cancer should be considered in patients with head and neck cancer that have persistent, unexplained skin changes at PEG site, anemia, or guaiac positive stools without a clear etiology. The direct implantation of tumor cells through instrumentation is the most likely explanation, although hematogenous and/or lymphatic seeding is also a possibility. Our review of the literature and clinical experience indicate that the “pull” technique of PEG placement may directly implant tumor cells at the gastrostomy site.
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Authors
Kianoush MD, PhD, Jacob MD, Nipun MD, Tung MD, Rod MD,