Carotid bypass surgery for a persistent neck tumor after multiple treatments: a case report
DOI:
https://doi.org/10.13181/mji.cr.226130Keywords:
carotid artery, neck node metastasis, reconstructive surgical procedures, squamous cell carcinoma, vascular surgical proceduresAbstract
Carotid artery involvement in head and neck cancer is challenging for surgeons and oncologists, particularly in recurrence or residual disease following multiple treatments. However, carotid artery resection and reconstruction can be safely performed in a carefully selected patient with local and regional control benefits despite the potential morbidity and high-risk complications. We presented a case of primary laryngeal cancer treated with chemoradiotherapy, modified radical neck dissection type I for residual neck node disease, and further chemotherapy. Although the primary laryngeal cancer showed a complete response, the residual neck tumor was still unresolved and even involved the carotid artery. Therefore, carotid resection with a combined saphenous vein graft and free flap reconstruction was the treatment of choice for this patient. It is effective and safe, and the risk of morbidity has been accepted.
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Manzoor NF, Russell JO, Bricker A, Koyfman S, Scharpf J, Burkey B, et al. Impact of surgical resection on survival in patients with advanced head and neck cancer involving the carotid artery. JAMA Otolaryngol Head Neck Surg. 2013;139(11):1219-25. https://doi.org/10.1001/jamaoto.2013.4917
Mourad M, Saman M, Stroman D, Lee T, Ducic Y. Carotid artery sacrifice and reconstruction in the setting of advanced head and neck cancer. Otolaryngol Head Neck Surg. 2015;153(2):225-30. https://doi.org/10.1177/0194599815586719
Kim Y, Philouze P, Malard O, Dufour X, Nokovitch L, Céruse P, et al. Resection and reconstruction of the carotid artery for head and neck squamous cell carcinoma: a GETTEC study. Eur Arch Otorhinolaryngol. 2022;279(9):4515-23. https://doi.org/10.1007/s00405-022-07342-6
Maruthamuthu T, Sanjeevan N, Aziz ME, Mat Saad AZ, Abdullah B. Carotid artery resection and reconstruction for recurrent laryngeal carcinoma with carotid artery involvement: case report. Med Flum. 2018;54(1):64-7. https://doi.org/10.21860/medflum2018_192876
Agarwal J, Kundu S, Krishnatry R, Gupta T, Murthy V, Budrukkar A, et al. Salvage neck dissection after chemoradiation in head and neck cancer: practice and pitfalls. Int J Head Neck Surg. 2012;3(1):15-21. https://doi.org/10.5005/jp-journals-10001-1083
Lodder WL, Lange CA, Teertstra HJ, Pameijer FA, van den Brekel MW, Balm AJ. Value of MR and CT imaging for assessment of internal carotid artery encasement in head and neck squamous cell carcinoma. Int J Surg Oncol. 2013;2013:968758. https://doi.org/10.1155/2013/968758
Raheja A, Couldwell WT. Cavernous sinus meningioma. Handb Clin Neurol. 2020;170:69-85. https://doi.org/10.1016/B978-0-12-822198-3.00029-X
Kalani MY, Kalb S, Martirosyan NL, Lettieri SC, Spetzler RF, Porter RW, et al. Cerebral revascularization and carotid artery resection at the skull base for treatment of advanced head and neck malignancies. J Neurosurg. 2013;118(3):637-42. https://doi.org/10.3171/2012.9.JNS12332
Yang R, Wu H, Chen B, Sun W, Hu X, Wang T, et al. Balloon test occlusion of internal carotid artery in recurrent nasopharyngeal carcinoma before endoscopic nasopharyngectomy: a single center experience. Front. Oncol. 2021;11:674889. https://doi.org/10.3389/fonc.2021.674889
Matsubara N, Izumi T, Okamoto S, Araki Y, Shintai K, Tajima H, et al. Multimodal assessment for balloon test occlusion of the internal carotid artery. J Neuroendovascular Ther. 2016;10(3):108-15. https://doi.org/10.5797/jnet.oa.2015-0012
Illuminati G, Schneider F, Minni A, Calio FG, Pizzardi G, Ricco JB. Resection of recurrent neck cancer with carotid artery replacement. J Vasc Surg. 2016;63(5):1272-8. https://doi.org/10.1016/j.jvs.2015.10.098
Greene FL, Page DL, Fleming ID, Fritz AG, Balch CM, Haller DG, et al, editors. AJCC cancer staging manual. 6th ed. New York: Springer; 2002. https://doi.org/10.1007/978-1-4757-3656-4
Majumdar KS, Rao VUS, Prasad R, Ramaswamy V, Sinha P, Subash A. Incidence of micrometastasis and isolated tumour cells in clinicopathologically node-negative head and neck squamous cell carcinoma. J Maxillofac Oral Surg. 2020;19(1):131-5. https://doi.org/10.1007/s12663-019-01239-4
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