Ali Reshi Imran, Rashid Irshad, Soni Kirtan, Mbah Linda A, Yadav Preeti, Varghese Jeffrin John, Singh Mansi
Internal Medicine, Government Medical College Srinagar, Srinagar, IND.
Internal Medicine, Gujarat Medical Education and Research Society (GMERS) Medical College, Gandhinagar, IND.
Cureus. 2025 Jul 8;17(7):e87537. doi: 10.7759/cureus.87537. eCollection 2025 Jul.
This case report presents a 68-year-old female with a complex medical history including metastatic squamous cell carcinoma of unknown primary site, treated with excisional biopsy and definitive chemoradiotherapy (CRT), and surgically treated stage 0 cervical cancer. The clinical course includes comprehensive treatment for squamous cell carcinoma involving the lymph nodes of the head and neck region, including chemoradiotherapy and concurrent cisplatin chemotherapy. The patient displayed the presentation of severe proximal right internal carotid artery (ICA) stenosis, picked up during a carotid duplex examination. Diagnostic findings reveal new severe proximal right ICA stenosis compared to prior assessments. This case highlights the importance of continued monitoring of long-term vascular complications post-management of patients who have undergone chemoradiation.
本病例报告介绍了一名68岁女性，她有复杂的病史，包括原发部位不明的转移性鳞状细胞癌，接受了切除活检和根治性放化疗（CRT），以及手术治疗的0期宫颈癌。临床过程包括对头颈部区域淋巴结转移的鳞状细胞癌进行综合治疗，包括放化疗和顺铂同步化疗。患者在颈动脉双功超声检查中发现严重的右侧颈内动脉（ICA）近端狭窄。诊断结果显示，与之前的评估相比，右侧ICA近端出现了新的严重狭窄。本病例强调了对接受放化疗的患者进行长期血管并发症持续监测的重要性。
