BACKGROUND: @entity1 with @entity135 often need a percutaneous endoscopic gastrostomy to provide adequate nutrition because of inability to swallow after @entity5 radiation therapy. However, @entity3 of the original @entity5 to the gastrostomy exit site may occur. METHODS: We describe the case of a 61-year-old @entity1 with stage III (T2 N1) squamous cell @entity5772 in whom a @entity970 tube was placed to circumvent anticipated difficulties in swallowing after radiation therapy. We also compare this case with similar cases in the literature. RESULTS: Soreness and erythema near the @entity3337 reported by the @entity1 were diagnosed as @entity2688 , and two courses of antibiotic treatment were prescribed. However, a biopsy showed that the @entity957 had metastasized to the gastrostomy exit site. The "pull" method of tube placement had been used in this @entity1 and in all 19 cases of @entity3 reported in the literature. CONCLUSIONS: @entity5 should be considered in @entity1 with @entity135 who have unexplained skin changes at the @entity3337 . Our experience with this case and review of the literature indicate that, in @entity1 with @entity135 , "pull" procedures for placement of @entity5274 may induce @entity3 by direct implantation of @entity5 cells because of contact between the @entity5274 and @entity5 cells. Methods of tube insertion that avoid such contact are preferred.

@entity3 of XXXX to the site of percutaneous endoscopic gastrostomy: case report and literature review.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient', 'man'] @entity135 :: ('MESH:D006258', 'Disease') :: ['head and neck cancer'] @entity3337 :: ('MESH:D009371', 'Disease') :: ['gastrostomy site'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'Metastatic cancer'] @entity957 :: ('MESH:D002294', 'Disease') :: ['original squamous cell carcinoma'] @entity2688 :: ('MESH:D002481', 'Disease') :: ['cellulitis'] @entity5274 :: ('MESH:D005184', 'Disease') :: ['gastrostomy tube', 'gastrostomy tubes'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastasis'] @entity970 :: ('CHEBI:46793', 'Chemical') :: ['PEG'] @entity5772 :: ('MESH:D014062', 'Disease') :: ['carcinoma of the tongue']
@entity135 :: (MESH:D006258,Disease) :: ['head and neck carcinoma']
