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胃造瘘口鳞状细胞癌种植。病例报告。

Squamous cell carcinoma implantation in gastrostomy orifice. Case report.

作者信息

Querichelli Ana Flávia Azevedo, Faria Fernanda Luiza, Martinez Laura Ferreira, Campos Junior Eumildo de

机构信息

Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brazil.

出版信息

Einstein (Sao Paulo). 2020 Nov 6;18:eRC5409. doi: 10.31744/einstein_journal/2020RC5409. eCollection 2020.

DOI:10.31744/einstein_journal/2020RC5409
PMID:33174970
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7607919/
Abstract

Percutaneous endoscopic gastrostomy is used to provide enteral nutritional support for patients with obstructive oropharyngeal or esophageal neoplasms. The placement of the catheter is considered safe, with few complications. Despite this, a specific complication that is considered rare, has been increasingly described in the literature, i.e., metastasis of head and neck cancer in the gastrostomy stoma. In this report, we described a case of metastasis of squamous cell carcinoma of the larynx in the gastrostomy site, and discussed the possible etiologies and alternatives, seeking to reduce the incidence of this complication.

摘要

经皮内镜下胃造口术用于为患有阻塞性口咽或食管肿瘤的患者提供肠内营养支持。导管置入被认为是安全的,并发症较少。尽管如此,一种被认为罕见的特定并发症在文献中越来越多地被描述,即头颈部癌转移至胃造口口。在本报告中,我们描述了一例喉鳞状细胞癌转移至胃造口部位的病例,并讨论了可能的病因及替代方案,以期降低该并发症的发生率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06fb/7607919/20ceab567ff3/2317-6385-eins-18-eRC5409-gf02-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06fb/7607919/9cc612f1a0a7/2317-6385-eins-18-eRC5409-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06fb/7607919/bb9f80b6c8c2/2317-6385-eins-18-eRC5409-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06fb/7607919/4d2ffe05a6d3/2317-6385-eins-18-eRC5409-gf01-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06fb/7607919/20ceab567ff3/2317-6385-eins-18-eRC5409-gf02-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06fb/7607919/9cc612f1a0a7/2317-6385-eins-18-eRC5409-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06fb/7607919/bb9f80b6c8c2/2317-6385-eins-18-eRC5409-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06fb/7607919/4d2ffe05a6d3/2317-6385-eins-18-eRC5409-gf01-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06fb/7607919/20ceab567ff3/2317-6385-eins-18-eRC5409-gf02-pt.jpg

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本文引用的文献

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Tumor implantation following percutaneous endoscopic gastrostomy insertion for head and neck and oesophageal cancer: Review of the literature.经皮内镜胃造瘘术在头颈部和食道癌患者中的肿瘤种植:文献复习。
Head Neck. 2019 Jun;41(6):2007-2015. doi: 10.1002/hed.25652. Epub 2019 Jan 25.
2
Risk of tumor implantation in percutaneous endoscopic gastrostomy in the upper aerodigestive tumors.上消化道肿瘤经皮内镜下胃造口术肿瘤种植的风险
Acta Biomed. 2018 Dec 17;89(8-S):117-121. doi: 10.23750/abm.v89i8-S.7894.
3
Head and Neck Cancer Tumor Seeding at the Percutaneous Endoscopic Gastrostomy Site.
经皮内镜胃造口部位的头颈部癌症肿瘤种植。
Nutr Clin Pract. 2018 Feb;33(1):73-80. doi: 10.1002/ncp.10021. Epub 2018 Jan 11.
4
Comparison of the pull and introducer percutaneous endoscopic gastrostomy techniques in patients with head and neck cancer.头颈部癌症患者中牵拉式与导入器式经皮内镜下胃造口术技术的比较。
United European Gastroenterol J. 2017 Apr;5(3):365-373. doi: 10.1177/2050640616662160. Epub 2016 Jul 21.
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ESPEN guidelines on nutrition in cancer patients.ESPEN 肿瘤患者营养指南。
Clin Nutr. 2017 Feb;36(1):11-48. doi: 10.1016/j.clnu.2016.07.015. Epub 2016 Aug 6.
6
Metastatic head and neck carcinoma to a percutaneous endoscopic gastrostomy site.经皮内镜下胃造口部位发生转移性头颈部癌。
Head Neck. 2005 Apr;27(4):339-43. doi: 10.1002/hed.20159.
7
Metastasis of head and neck carcinoma to the site of percutaneous endoscopic gastrostomy: case report and literature review.头颈部癌转移至经皮内镜下胃造口部位:病例报告及文献综述
JPEN J Parenter Enteral Nutr. 2001 Sep-Oct;25(5):282-5. doi: 10.1177/0148607101025005282.
8
Implantation metastasis following percutaneous endoscopic gastrostomy.经皮内镜下胃造口术后种植转移
J Laryngol Otol. 1993 Oct;107(10):946-9. doi: 10.1017/s0022215100124879.