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Tumour seeding following percutaneous endoscopic gastrostomy placement in head and neck cancer.
  1. D. Thorburn,
  2. S. N. Karim,
  3. D. S. Soutar,
  4. P. R. Mills
  1. Gastroenterology Unit, Western Infirmary, Glasgow, UK.


    We report the case of a patient with advanced squamous carcinoma of the supraglottic larynx and hypopharynx who developed metastatic gastric deposits occurring at the site of a percutaneous endoscopic gastrostomy tube, inserted 10 months previously by the pull technique. We review seven previous reports of tumour deposits occurring at the site of placement of a percutaneous endoscopic gastrostomy in patients with head and neck cancer, and consider alternative methods of enteral feeding in such patients.

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