Squamous cell carcinoma implantation in gastrostomy orifice. Case report

• Published in: Einstein (São Paulo, Brazil) Vol. 18; p. eRC5409
• Main Authors: Querichelli, Ana Flávia Azevedo, Faria, Fernanda Luiza, Martinez, Laura Ferreira, Campos Junior, Eumildo de
• Format: Journal Article
• Language: English
• Published: Brazil Instituto Israelita de Ensino e Pesquisa Albert Einstein 01.01.2020
• Subjects: Carcinoma, squamous cell; Carcinoma, Squamous Cell - diagnostic imaging; Carcinoma, Squamous Cell - secondary; Carcinoma, Squamous Cell - therapy; Case Report; Enteral nutrition; Enteral Nutrition - adverse effects; Esophageal Neoplasms - pathology; Gastrostomy; Gastrostomy - adverse effects; Head and neck neoplasms; Head and Neck Neoplasms - pathology; Head and Neck Neoplasms - therapy; Humans; Laryngeal Neoplasms - pathology; Male; MEDICINE, GENERAL & INTERNAL; Middle Aged; Neoplasm Metastasis; Oropharyngeal Neoplasms - pathology; Stomach Neoplasms - secondary; Stomach Neoplasms - surgery; Gastrostomy; Carcinoma de células escamosas; Carcinoma, squamous cell; Enteral nutrition; Metástase neoplásica; Head and neck neoplasms; Gastrostomia; Nutrição enteral; Neoplasm metastasis; Neoplasias de cabeça e pescoço
• ISSN: 1679-4508; 2317-6385; 2317-6385
• DOI: 10.31744/einstein_journal/2020RC5409

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.