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

© Georg Thieme Verlag KG Stuttgart · New York

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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Publikationsdatum:
17. März 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.