Siddiqi Anwer M, Hamilton Robert D, Minocha Anil
Department of Pathology, University of Mississippi Medical Center, Jackson, Mississippi, USA.
Am J Med Sci. 2008 Sep;336(3):291-2. doi: 10.1097/MAJ.0b013e31815b60ba.
Malignant seeding of the percutaneous endoscopic gastrostomy (PEG) stoma is a rare and unusual complication of PEG performed in patients with head and neck cancer. Direct seeding of PEG stoma is believed to be the culprit. We present one such case of metastasis that lends support to an alternate hypothesis of vascular spread. First responders in such cases are usually not gastroenterologists and may include dieticians, primary care physicians, and radiologists. As such, we also provide pictures that would help the health care providers recognize this rare entity and manage appropriately and promptly.
经皮内镜下胃造口术（PEG）造口处的恶性种植是头颈癌患者接受PEG治疗时罕见且不寻常的并发症。PEG造口处的直接种植被认为是罪魁祸首。我们报告了这样一例转移病例，它支持了血管播散的另一种假说。此类病例的首诊医生通常不是胃肠病学家，可能包括营养师、初级保健医生和放射科医生。因此，我们还提供了图片，有助于医疗服务提供者识别这种罕见情况并进行适当及时的处理。
