Ungewöhnlicher Fall einer akuten oberen gastrointestinalen Blutung: PEG-Implantationsmetastase eines Ösophaguskarzinoms - Fallbericht und Literaturübersicht
| Autor: | B. Heine, M Kruschewski, Patricia Grabowski, Severin Daum, Jörg C. Hoffmann, Martin Zeitz |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
Gastrointestinal bleeding business.industry medicine.medical_treatment Gastroenterology Bleed medicine.disease Dysphagia Surgery Metastasis Radiation therapy Oncology Percutaneous endoscopic gastrostomy medicine In patient Basal cell Radiology medicine.symptom Head and neck business |
| Zdroj: | TumorDiagnostik & Therapie. 28:43-46 |
| ISSN: | 1439-1279 0722-219X |
| DOI: | 10.1055/s-2007-962906 |
| Popis: | 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 Gl 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 Gl bleed is very uncommon and needs the attention of both endoscopists as well as gastrointestinal oncologists. Clinico-pathological features of this case with a brief review of the literature are presented. |
| Databáze: | OpenAIRE |
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