Quintyne Keith Ian, Baker Shirley, Wallis Fintan, Shine Neville, Gupta Rajnish
Department of Medical Oncology, Mid-Western Regional Hospital, Limerick, Ireland.
BMJ Case Rep. 2011 Sep 19;2011:bcr0820114599. doi: 10.1136/bcr.08.2011.4599.
The authors herein report the case of a 61-year-old man undergoing adjuvant therapy for locally advanced laryngeal cancer, who developed parastomal recurrence in his radiation field around his tracheotomy site, while he was undergoing radiation therapy, and compromised the secure placement of his tracheotomy tube and maintenance of his upper airway. MRI restaging and biopsy confirmed recurrence and progressive disease in his mediastinum. He underwent local therapy with intralesional bleomycin with good palliation, and ability to maintain the patency of his upper airway.
本文作者报告了一例61岁男性患者，该患者因局部晚期喉癌接受辅助治疗，在接受放射治疗期间，其气管切开部位周围的放疗区域出现造口旁复发，影响了气管切开管的安全放置和上呼吸道的维持。MRI重新分期和活检证实纵隔复发且疾病进展。他接受了病灶内注射博来霉素的局部治疗，症状得到了良好缓解，并且能够维持上呼吸道通畅。
