Metastasis to infraclavicular lymph nodes in head and neck cancer: a report of three cases

Yıl 2002, Cilt: 9 Sayı: 5, 368 - 371, 10.10.2002

Burak Erdamar Yusufhan Süoğlu Erkan Kıyak Mehmet Güven Günter Hafız İsmet Aslan

Öz

Metastasis predominantly occurs via the lymphatic system in head and neck tumors. The disturbance of the lymphatic system in the cervical region resulting from neck dissection or radiotherapy may result in unusual patterns of metastasis in patients with recurrent tumors. This is more frequent when the recurrent tumor invades the myocutaneous flap used for the primary reconstruction. We encoun- tered three patients 2 men, 1women with infraclav­ icular lymph node metastasis. AH were previously treated by surgery, postoperative radiation therapy, and reconstruction with the use of the pectoralis majör myocutaneous flap.

Anahtar Kelimeler

Axilla, carcinoma, squamous cell/surgery/radiotherapy, laryngeal neoplasms/surgery, lymph nodes/pathology, lymphatic metastasis, mouth floor, mouth neoplasms, neck dissection, neoplasm recurrence, local, parotid neo­ plasms, radiotherapy, adjuvant, surgical flaps

Baş-boyun kanserli üç olguda infraklaviküler lenf nodlarma metastaz

Öz

Bafl-boyun tümörlerinde metastaz lenfatik sistem aracılığı ile olmaktadır. Boyun diseksiyonu ya da radyoterapi uygulanmıfl boyunlarda lenfatik sistemin bütünlüğü bozulmakta ve özellikle reküren hastalığı bulunan olgularda beklenmedik bölgelere metastaz- lar görülmektedir. Bu durum, rekürren tümörün aynı bölgede rekonstrüksiyon amaçlı kullanılmıfl miyoku- tan flebi invaze ettiğinde daha yaygındır. Bu yazıda, bafl-boyun kanseri nedeniyle cerrahi tedaviyi takiben rekonstrüksiyonları pektoralis majör miyokutan flep ile gerçeklefltirilen ve radyoterapi uygulanan ikisi er- kek üç hastada rastladığımız infraklaviküler bölgeye metastatik yayılım sunuldu

Anahtar Kelimeler

Aksilla, karsinom, skuamöz hücreli/cerrahi/radyoterapi, larenjeal neoplazmlar/cerrahi, lenfnodu/patoloji, lenfatik metastaz, ağız tabanı, ağız neoplazmları, boyun diseksiyonu, neoplazm rekürensi, lokal, parotis neoplazmları, radyoterapi, adjuvan, cerrahi flepler

Kaynakça

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