人工血管による総頸動脈置換を施行した舌癌頸部後発転移の1例 A case of metastatic tongue cancer with replacement of the common carotid artery
We report on a patient who had tongue cancer with neck metastasis. The left common carotid artery was resected and replaced with an artificial vessel. A 49-year-old man was referred to our hospital because of an ulcer arising at the left side of the tongue. After 4 years of observation, the patient underwent a partial glossectomy because of malignant transformation. One year 6 months subsequently, the patient was readmitted because of metastasis to the left middle internal jugular lymph nodes. The neck metastasis surrounded the carotid artery and invaded its wall. In collaboration with vascular surgeons, an extended neck dissection was performed, and a segment of the common carotid artery was resected. A vascular prosthesis was used for reconstruction.<BR>Although this radical operation might not markedly increase the long-term cure rate, it may improve the quality of life and achieve loco-regional control of disease. This procedure should therefore be positively considered in selected patients with advanced neck metastasis.
日本口腔外科学会雑誌 51(7), 368-371, 2005-07-20
Japanese Society of Oral and Maxillofacial Surgeons