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Risk of tumor implantation in percutaneous endoscopic gastrostomy in the upper aerodigestive tumors

Percutaneous endoscopic gastrostomy (PEG) has become a mainstay in providing enteral access for patients with obstructive head, neck and esophageal tumors. Tumor cell implantation is a rare complication in patients with aerodigestive cancers, who have undergone PEG tube placement. The objective of t...

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Autores principales: Francesca, Vincenzi, Giuseppina, De Caro, Federica, Gaiani, Fabiola, Fornaroli, Roberta, Minelli, Gioacchino, Leandro, Francesco, Di Mario, Gian, Luigi de’Angelis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mattioli 1885 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6502208/
https://www.ncbi.nlm.nih.gov/pubmed/30561429
http://dx.doi.org/10.23750/abm.v89i8-S.7894
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author Francesca, Vincenzi
Giuseppina, De Caro
Federica, Gaiani
Fabiola, Fornaroli
Roberta, Minelli
Gioacchino, Leandro
Francesco, Di Mario
Gian, Luigi de’Angelis
author_facet Francesca, Vincenzi
Giuseppina, De Caro
Federica, Gaiani
Fabiola, Fornaroli
Roberta, Minelli
Gioacchino, Leandro
Francesco, Di Mario
Gian, Luigi de’Angelis
author_sort Francesca, Vincenzi
collection PubMed
description Percutaneous endoscopic gastrostomy (PEG) has become a mainstay in providing enteral access for patients with obstructive head, neck and esophageal tumors. Tumor cell implantation is a rare complication in patients with aerodigestive cancers, who have undergone PEG tube placement. The objective of this review is to determine the incidence and contributing risk factors leading to the implantation of metastases into the abdominal wall following PEG placement. A comprehensive review of the literature in PUBMED (2008-2018) was performed. The literature search revealed reports of more than 50 cases of abdominal wall metastases after PEG placement. As most of these studies were case reports, the exact rate of metastasis remains unknown. Generally pharyngoesophageal location of primary cancer (100%), squamous cell histology (98%), poorly differentiated tumor cells (92%), advanced pathological stage (97%), and large primary cancer size were identified as strong risk factors for the development of stomal metastasis. Abdominal wall metastases following PEG placement are a rare but serious complication in patients with head and neck malignancy. (www.actabiomedica.it)
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spelling pubmed-65022082019-05-08 Risk of tumor implantation in percutaneous endoscopic gastrostomy in the upper aerodigestive tumors Francesca, Vincenzi Giuseppina, De Caro Federica, Gaiani Fabiola, Fornaroli Roberta, Minelli Gioacchino, Leandro Francesco, Di Mario Gian, Luigi de’Angelis Acta Biomed Review Percutaneous endoscopic gastrostomy (PEG) has become a mainstay in providing enteral access for patients with obstructive head, neck and esophageal tumors. Tumor cell implantation is a rare complication in patients with aerodigestive cancers, who have undergone PEG tube placement. The objective of this review is to determine the incidence and contributing risk factors leading to the implantation of metastases into the abdominal wall following PEG placement. A comprehensive review of the literature in PUBMED (2008-2018) was performed. The literature search revealed reports of more than 50 cases of abdominal wall metastases after PEG placement. As most of these studies were case reports, the exact rate of metastasis remains unknown. Generally pharyngoesophageal location of primary cancer (100%), squamous cell histology (98%), poorly differentiated tumor cells (92%), advanced pathological stage (97%), and large primary cancer size were identified as strong risk factors for the development of stomal metastasis. Abdominal wall metastases following PEG placement are a rare but serious complication in patients with head and neck malignancy. (www.actabiomedica.it) Mattioli 1885 2018 /pmc/articles/PMC6502208/ /pubmed/30561429 http://dx.doi.org/10.23750/abm.v89i8-S.7894 Text en Copyright: © 2018 ACTA BIO MEDICA SOCIETY OF MEDICINE AND NATURAL SCIENCES OF PARMA http://creativecommons.org/licenses/by-nc-sa/4.0 This work is licensed under a Creative Commons Attribution 4.0 International License
spellingShingle Review
Francesca, Vincenzi
Giuseppina, De Caro
Federica, Gaiani
Fabiola, Fornaroli
Roberta, Minelli
Gioacchino, Leandro
Francesco, Di Mario
Gian, Luigi de’Angelis
Risk of tumor implantation in percutaneous endoscopic gastrostomy in the upper aerodigestive tumors
title Risk of tumor implantation in percutaneous endoscopic gastrostomy in the upper aerodigestive tumors
title_full Risk of tumor implantation in percutaneous endoscopic gastrostomy in the upper aerodigestive tumors
title_fullStr Risk of tumor implantation in percutaneous endoscopic gastrostomy in the upper aerodigestive tumors
title_full_unstemmed Risk of tumor implantation in percutaneous endoscopic gastrostomy in the upper aerodigestive tumors
title_short Risk of tumor implantation in percutaneous endoscopic gastrostomy in the upper aerodigestive tumors
title_sort risk of tumor implantation in percutaneous endoscopic gastrostomy in the upper aerodigestive tumors
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6502208/
https://www.ncbi.nlm.nih.gov/pubmed/30561429
http://dx.doi.org/10.23750/abm.v89i8-S.7894
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