照射野内毗邻颈总动脉的胸锁关节肿瘤的切除方法
Approach to resection of sternoclavicular tumor abutting the common carotid artery in irradiated field.
作者信息
Muñoz-Largacha Juan A, Slama Jaromir, Kalish Jeffrey, Jalisi Scharukh, Litle Virginia R, Suzuki Kei
机构信息
Department of Surgery, Division of Thoracic Surgery, Boston University School of Medicine, Boston, MA, USA.
Department of Surgery, Division of Plastic and Reconstructive Surgery, Boston University School of Medicine, Boston, MA, USA.
出版信息
J Thorac Dis. 2018 Jan;10(1):E38-E41. doi: 10.21037/jtd.2017.12.60.
Head and neck cancer recurrence at the sternoclavicular junction (SCJ) in irradiated field poses a special challenge in terms of surgical planning. We herein present a case of tonsillar squamous cell cancer recurrence at the SCJ in a patient with history of tracheostomy and head and neck radiation. We describe our preoperative planning for vascular control and possible reconstruction as well as our approach for safe resection.
照射野内胸骨锁骨关节（SCJ）处的头颈部癌复发在手术规划方面带来了特殊挑战。我们在此呈现一例有气管造口术和头颈部放疗史的患者，其扁桃体鳞状细胞癌在SCJ处复发的病例。我们描述了我们在血管控制和可能的重建方面的术前规划以及安全切除的方法。
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