下咽頭癌術後に再発が疑われた放線菌症例

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  • A Case of Actinomycosis Suspected as Recurrence after Surgery for Hypopharyngeal Carcinoma
  • シタ イントウガン ジュツゴ ニ サイハツ ガ ウタガワレタ ホウセンキン ショウレイ

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The Actinomyces, a resident flora in the oral cavity, can form a mass in the head and neck region that is often difficult to distinguish from a malignant tumor. This report describes a case of actinomycosis in a 65-year-old man who underwent concurrent chemoradiotherapy, left cervical lymph node dissection, laryngopharyngoesophagectomy, and esophageal reconstruction with the pectoralis major muscle for treatment of hypopharyngeal carcinoma. He subsequently developed a suspicious mass at the pharyngeal stump that was difficult to distinguish from recurrent carcinoma. After two biopsies, treatment with a penicillin antibiotic, and strict follow-up, the mass disappeared 38 weeks after the start of antibiotic treatment. Antibiotic treatment was subsequently discontinued and no recurrence has been detected to date.<br>

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