Baş-boyun kanserli üç olguda infraklaviküler lenf nodlarma metastaz
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
Metastasis to infraclavicular lymph nodes in head and neck cancer: a report of three cases
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.
Keywords:
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,
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- ISSN: 2602-4837
- Yayın Aralığı: Yılda 4 Sayı
- Başlangıç: 1991
- Yayıncı: İstanbul Üniversitesi
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