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Puncture-Site Metastasis in a Radiologically Inserted Gastrostomy Tube: Case Report and Literature Review

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Abstract

Gastrostomy-site metastases from head and neck cancer have been reported numerous times following endoscopic insertion, with direct implantation being implicated. We present the first reported case of gastrostomy-site metastasis following radiological insertion, and discuss the mechanisms by which this may have occurred. These include: direct implantation, hematogenous dissemination, or the natural shedding of tumor cells into the gastrointestinal tract.

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Authors and Affiliations

  1. Department of ENT Surgery, Derriford Hospital, Plymouth, Devon, UK

    R.M.A. Hawken & M.W.M. Bridger

  2. Department of Maxillofacial Surgery, Derriford Hospital, Plymouth, Devon, UK

    R.W. Williams

  3. Department of Histopathology, Derriford Hospital, Plymouth, Devon, UK

    C.B.A. Lyons

  4. Department of Radiology, Derriford Hospital, Derriford Road, Plymouth, Devon, PL6 8DH, UK

    S.A. Jackson

Authors
  1. R.M.A. Hawken
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  2. R.W. Williams
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  3. M.W.M. Bridger
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  4. C.B.A. Lyons
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  5. S.A. Jackson
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Correspondence to S.A. Jackson.

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Hawken, R., Williams, R., Bridger, M. et al. Puncture-Site Metastasis in a Radiologically Inserted Gastrostomy Tube: Case Report and Literature Review. Cardiovasc Intervent Radiol 28, 377–380 (2005). https://doi.org/10.1007/s00270-004-0106-5

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