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

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著者

    • 新谷 悟 SHINTANI Satoru
    • 愛媛大学医学部歯科口腔外科学講座 Department of Oral and Maxillofacial Surgery, Ehime University School of Medicine
    • 石川 徹 ISHIKAWA Tohru
    • 愛媛大学医学部歯科口腔外科学講座 Department of Oral and Maxillofacial Surgery, Ehime University School of Medicine
    • 日野 聡史 HINO Satoshi
    • 愛媛大学医学部歯科口腔外科学講座 Department of Oral and Maxillofacial Surgery, Ehime University School of Medicine

抄録

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.

収録刊行物

  • 日本口腔外科学会雑誌  

    日本口腔外科学会雑誌 51(7), 368-371, 2005-07-20 

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10018954967
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • NDL 記事登録ID
    7431817
  • NDL 雑誌分類
    ZS44(科学技術--医学--歯科学・口腔外科学)
  • NDL 請求記号
    Z19-145
  • データ提供元
    CJP書誌  NDL  J-STAGE 
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