下咽頭癌手術における上皮小体移植術

DOI 被引用文献3件

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  • Parathyroid Autotransplantation During Surgery for Advanced Hypopharyngeal Cancer

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A case of a patient with advanced hypopharyngeal cancer (PS-oropharynx ; T4 N2 M0 ; Stage IV) who had undergone radical surgery after chemoradiotherapy was presented. The radical surgery performed was en-block resection of pharynx, larynx, cervical esophagus, thyroid and parathyroid glands in conjunction with bilateral neck dissection and simultaneous reconstruction with a free jejunal flap. Concurrently, parathyroid glands were dissected out from the speci-men and then transplanted beneath the fascia of the left forearm, after confirmation that there were no metastatic tumors in those glands. Postoperative course was uneventful. Viability of the transplanted parathyroid glands was confirmed with measurement of M-PTH level in the venous samples obtained from the both cubital vein. Until now the same procedure had been performed in 6 cases safely.

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  • 頭頸部外科

    頭頸部外科 6 (3), 197-201, 1996

    特定非営利活動法人 日本頭頸部外科学会

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