PMID- 33799159 OWN - NLM STAT- MEDLINE DCOM- 20210514 LR - 20210514 IS - 1532-2777 (Electronic) IS - 0306-9877 (Linking) VI - 150 DP - 2021 May TI - Laryngeal carcinoma experimental model suggests the possibility of tumor seeding to gastrostomy site. PG - 110573 LID - S0306-9877(21)00091-8 [pii] LID - 10.1016/j.mehy.2021.110573 [doi] AB - Some studies state that laryngeal squamous cell carcinoma (LSCC) is associated with possible direct tumor cell seeding to percutaneous endoscopic gastrostomy (PEG) site. However, there is a lack of experimental proof that LSCC tumor tissue can adhere and grow in distant sites. Therefore, we aimed to investigate the growth pattern of LSCC implants on chicken embryo chorioallantoic membrane (CAM) and evaluate possible associations between clinical course of the disease and behavior of experimentally implanted LSCC tumors. Our results show that implanted LSCC tissue survives on CAMs in 95% of cases while retaining essential morphologic characteristics and proliferative capacity of the original tumor. We identified the increased CAM vascularization, an infiltrative growth pattern of the implant and formation of distant isolated metastatic nodes on the CAMs. LSCC tumors with worse differentiation degree (G2 or G3) adhered to the experimental CAMs significantly better than G1. These results facilitate the understanding of tumor biology and allow hypothetisezing that dissemination and direct implantation of LSCC cells into the stomal wall during the pull PEG procedure might be possible. CI - Copyright (c) 2021 Elsevier Ltd. All rights reserved. FAU - Uloza, Virgilijus AU - Uloza V AD - Department of Otorhinolaryngology, Lithuanian University of Health Sciences, Eiveniu 2, Kaunas, LT 50009, Lithuania. Electronic address: Virgilijus.Ulozas@lsmuni.lt. FAU - Kuzminiene, Alina AU - Kuzminiene A AD - Department of Otorhinolaryngology, Lithuanian University of Health Sciences, Eiveniu 2, Kaunas, LT 50009, Lithuania. Electronic address: Alina.Kuzminiene@kaunoklinikos.lt. FAU - Palubinskiene, Jolita AU - Palubinskiene J AD - Department of Histology and Embryology, Lithuanian University of Health Sciences, A. Mickeviciaus g. 9, Kaunas, LT 44307, Lithuania. Electronic address: Jolita.Palubinskiene@lsmuni.lt. FAU - Balnyte, Ingrida AU - Balnyte I AD - Department of Histology and Embryology, Lithuanian University of Health Sciences, A. Mickeviciaus g. 9, Kaunas, LT 44307, Lithuania. Electronic address: Ingrida.Balnyte@lsmuni.lt. FAU - Uloziene, Ingrida AU - Uloziene I AD - Department of Otorhinolaryngology, Lithuanian University of Health Sciences, Eiveniu 2, Kaunas, LT 50009, Lithuania. Electronic address: Ingrida.Uloziene@lsmuni.lt. FAU - Valanciute, Angelija AU - Valanciute A AD - Department of Histology and Embryology, Lithuanian University of Health Sciences, A. Mickeviciaus g. 9, Kaunas, LT 44307, Lithuania. Electronic address: angelija.valanciute@lsmuni.lt. LA - eng PT - Journal Article DEP - 20210323 PL - United States TA - Med Hypotheses JT - Medical hypotheses JID - 7505668 SB - IM MH - Animals MH - *Carcinoma, Squamous Cell MH - Chick Embryo MH - Gastrostomy MH - *Laryngeal Neoplasms MH - Models, Theoretical MH - Neovascularization, Pathologic OTO - NOTNLM OT - Chicken embryo CAM OT - Chorioallantoic membrane OT - Experimental models OT - Laryngeal carcinoma OT - PEG EDAT- 2021/04/03 06:00 MHDA- 2021/05/15 06:00 CRDT- 2021/04/02 20:34 PHST- 2020/12/15 00:00 [received] PHST- 2021/01/28 00:00 [revised] PHST- 2021/03/13 00:00 [accepted] PHST- 2021/04/03 06:00 [pubmed] PHST- 2021/05/15 06:00 [medline] PHST- 2021/04/02 20:34 [entrez] AID - S0306-9877(21)00091-8 [pii] AID - 10.1016/j.mehy.2021.110573 [doi] PST - ppublish SO - Med Hypotheses. 2021 May;150:110573. doi: 10.1016/j.mehy.2021.110573. Epub 2021 Mar 23.