Güler YAVAŞ, Gonca KARA GEDİK, Bahar ÇOLPAN, Özlem ATA, Kayhan ÖZTÜRK, Oktay SARI

Kandida enfeksiyonuna eşlik eden hyoid osteoradyonekrozu

Hyoid kemiğin osteoradyonekrozu baş ve boyun kanseri için uygulanan terapötik irradyasyonun nadir bir komplikasyonudur. Bu yazıda, tonsil karsinomu nedeni ile kemoradyoterapi uygulamasının ardından ciddi odinofaji ile başvuran 52 yaşında bir erkek hasta sunuldu. Florin-18-florodeoksi-glukoz pozitron emisyon tomografi-bilgisayarlı tomografide hyoid kemikte metabolik aktivite görüldü. Patolojik bulgular fungal enfeksiyon ve hyoid kemik nekrozu ile uyumlu idi. Baş ve boyun tümörlerine yönelik irradyasyon ardından inatçı disfajisi olan hastalarda hyoid osteoradyonekrozu akılda tutulmalıdır

Anahtar Kelimeler:

Baş ve boyun kanseri, hyoid, osteoradyonekroz, radyoterapi, yassı hücreli karsinom

Hyoid osteoradionecrosis accompanied by candida infection

Osteoradionecrosis of the hyoid bone is a rare complication of therapeutic irradiation performed for head and neck cancer. In this article, we present a 52-year-old male patient who admitted with severe odynophagia following chemo-radiotherapy administration for tonsil carcinoma. Fluorine-18-fluorodeoxy-glucose positron emission tomography-computed tomography revealed a metabolic activity in hyoid bone. The pathological findings were consistent with fungal infection and hyoid bone necrosis. Hyoid osteoradionecrosis should be kept in mind in patients with intractable dysphagia following irradiation for head and neck tumors.

Keywords:

Head and neck cancer, hyoid, osteoradionecrosis, radiotherapy, squamous cell carcinoma,

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