Hasegawa On, Watanabe Masato, Kono Michihide, Yunaiyama Daisuke, Chikazu Daichi
Department of Oral and Maxillofacial Surgery, Tokyo Medical University, Shinjyuku-ku, Tokyo 160-0023, Japan.
Department of Radiology, Tokyo Medical University, Shinjyuku-ku, Tokyo 160-0023, Japan.
Mol Clin Oncol. 2021 Mar;14(3):55. doi: 10.3892/mco.2021.2217. Epub 2021 Jan 22.
Solitary fibrous tumors (SFTs) are derived from mesenchymal cells originating mainly from the pleura. Reports of bleeding SFTs in head and neck regions are rare. A number of reports have focused on tongue SFT treatments, but to the best of our knowledge, there are no reports on the usefulness of preoperative arterial embolization. Intraoperative and postoperative bleeding can also lead to airway problems. To avoid unnecessary tracheostomy and ligation of the external carotid artery, preoperative vascular embolism should be considered while removing large tumors or tumors with high blood flow. The current report outlines a case of a 32-year-old woman with a tongue solitary fibrous tumor, who underwent right lingual artery embolization with 300-500 and 500-700 µm embosphere microspheres through a vascular catheter the day before surgical resection. The encapsulated tumor was completely excised under general anesthesia with little to no bleeding during the operation.
孤立性纤维瘤（SFTs）起源于主要来自胸膜的间充质细胞。头颈部出血性SFTs的报道很少。许多报道集中在舌部SFTs的治疗上，但据我们所知，尚无关于术前动脉栓塞有效性的报道。术中和术后出血也可能导致气道问题。为避免不必要的气管切开和颈外动脉结扎，在切除大肿瘤或血流丰富的肿瘤时应考虑术前血管栓塞。本报告概述了一例32岁女性舌部孤立性纤维瘤病例，该患者在手术切除前一天通过血管导管用300 - 500和500 - 700 µm的栓塞微球对右舌动脉进行了栓塞。在全身麻醉下完整切除了包膜完整的肿瘤，术中几乎没有出血。
