Grabowski P, Daum S, Heine B, Kruschewski M, Zeitz M, Hoffmann J C
Gastroenterologie, Charité, Berlin.
Z Gastroenterol. 2006 Nov;44(11):1145-8. doi: 10.1055/s-2006-927065.
We present the case of a patient with an esophageal squamous cell carcinoma, who was treated primarily by radiotherapy. Due to dysphagia, the patient received a percutaneous endoscopic gastrostomy (PEG) without any sign of tumour at that time. Five months later the patient presented with an upper GI bleeding from a gastric ulcer, which histologically turned out to be a metastasis of the previously diagnosed squamous cell carcinoma. So-called "implantation metastases" at the percutaneous endoscopic gastrostomy site are rare and most of the cases have been described in patients with head and neck tumours. Moreover, the presentation as an upper GI bleed is very uncommon and needs the attention of both endoscopists as well as gastrointestinal oncologists. Clinicopathological features of this case with a brief review of the literature are presented.
我们报告一例食管鳞状细胞癌患者，该患者主要接受放射治疗。由于吞咽困难，患者当时接受了经皮内镜下胃造口术（PEG），当时未发现肿瘤迹象。五个月后，患者出现胃溃疡导致的上消化道出血，组织学检查结果显示为先前诊断的鳞状细胞癌转移。经皮内镜下胃造口术部位出现所谓的“种植转移”很罕见，大多数病例见于头颈部肿瘤患者。此外，以上消化道出血为表现的情况非常少见，需要内镜医师和胃肠肿瘤学家予以关注。本文介绍了该病例的临床病理特征并对相关文献进行了简要回顾。
