Endoscopy 2004; 36(5): 472
DOI: 10.1055/s-2004-814379
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© Georg Thieme Verlag Stuttgart · New York

Percutaneous Endoscopic Gastrostomy Site Metastasis in a Patient with Esophageal Cancer

W.  Wacke1 , U.  Hecker1 , C.  Woenckhaus2 , M.  M.  Lerch1
  • 1Division of Gastroenterology and Endocrinology, Ernst Moritz Arndt University, Greifswald, Germany
  • 2Institute of Pathology, Ernst Moritz Arndt University, Greifswald, Germany
Weitere Informationen

W. Wacke, M. D.

Division of Gastroenterology and Endocrinology

Ernst-Moritz-Arndt-Universität Greifswald
Friedrich-Loeffler-Straße 23 a
17487 Greifswald
Germany

Fax: +49-3834-866605

eMail: wacke@uni-greifswald.de

Publikationsverlauf

Publikationsdatum:
21. April 2004 (online)

Inhaltsübersicht

    Zoom Image

    Figure 1 An abdominal wall tumor with a diameter of 3 cm (Figure [1]) had formed at the site of a percutaneous endoscopic gastrostomy (PEG). The PEG had been inserted 10 months earlier using the pull-through technique in a 63-year-old patient with locally advanced squamous-cell carcinoma of the upper esophagus. The primary tumor had been treated with palliative chemoradiotherapy, which resulted in complete remission.

    Zoom Image

    Figure 2 The PEG-associated tumor was histologically identical to the original malignancy (Figure [2], hematoxylin/eosin stain) and was treated by resection of the affected abdominal wall and subtotal gastrectomy. This case illustrates the fact that malignant cells from a stenotic esophageal cancer can be sheared off when a PEG plate is being pulled through and that they remain capable of forming metastases even after chemoradiotherapy.

    W. Wacke, M. D.

    Division of Gastroenterology and Endocrinology

    Ernst-Moritz-Arndt-Universität Greifswald
    Friedrich-Loeffler-Straße 23 a
    17487 Greifswald
    Germany

    Fax: +49-3834-866605

    eMail: wacke@uni-greifswald.de

    W. Wacke, M. D.

    Division of Gastroenterology and Endocrinology

    Ernst-Moritz-Arndt-Universität Greifswald
    Friedrich-Loeffler-Straße 23 a
    17487 Greifswald
    Germany

    Fax: +49-3834-866605

    eMail: wacke@uni-greifswald.de

    Zoom Image

    Figure 1 An abdominal wall tumor with a diameter of 3 cm (Figure [1]) had formed at the site of a percutaneous endoscopic gastrostomy (PEG). The PEG had been inserted 10 months earlier using the pull-through technique in a 63-year-old patient with locally advanced squamous-cell carcinoma of the upper esophagus. The primary tumor had been treated with palliative chemoradiotherapy, which resulted in complete remission.

    Zoom Image

    Figure 2 The PEG-associated tumor was histologically identical to the original malignancy (Figure [2], hematoxylin/eosin stain) and was treated by resection of the affected abdominal wall and subtotal gastrectomy. This case illustrates the fact that malignant cells from a stenotic esophageal cancer can be sheared off when a PEG plate is being pulled through and that they remain capable of forming metastases even after chemoradiotherapy.