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  • Title: Puncture-site metastasis in a radiologically inserted gastrostomy tube: case report and literature review.
    Author: Hawken RM, Williams RW, Bridger MW, Lyons CB, Jackson SA.
    Journal: Cardiovasc Intervent Radiol; 2005; 28(3):377-80. PubMed ID: 15886946.
    Abstract:
    Gastrostomy-site metastases from head and neck cancer have been reported numerous times following endoscopic insertion, with direct implantation being implicated. We present the first reported case of gastrostomy-site metastasis following radiological insertion, and discuss the mechanisms by which this may have occurred. These include: direct implantation, hematogenous dissemination, or the natural shedding of tumor cells into the gastrointestinal tract.
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