关键词: adenoid cystic carcinoma case report endoscopic nasopharyngectomy internal carotid artery nasopharyngeal malignancy

来  源:   DOI:10.1002/ccr3.9167   PDF(Pubmed)

Abstract:
UNASSIGNED: In cases adjacent to critical structures, such as the internal carotid artery, surgeons should meticulously explore the feasibility of surgery before declaring the neoplasm unresectable.
UNASSIGNED: Salvage treatment for locally recurrent carcinoma of the nasopharynx constitutes a unique challenge. Surgery remains the gold standard treatment modality. Endoscopic nasopharyngectomy is considered a safe and feasible procedure overcoming the morbidities of an open surgery. Tumor adjacency to the internal carotid artery (ICA) is not an absolute contradiction for the endoscopic approach. Even in cases adjacent to critical structures, surgeons should meticulously explore the feasibility of surgery before declaring the neoplasm unresectable. We present the case of a 56-year-old male with locally recurrent adenoid cystic carcinoma (AdCC) of the nasopharynx adjacent to the ICA treated with endoscopic nasopharyngectomy.
摘要:
在靠近关键结构的情况下,比如颈内动脉,在宣布肿瘤不可切除之前,外科医生应仔细探索手术的可行性。
挽救治疗局部复发性鼻咽癌构成了独特的挑战。手术仍然是黄金标准治疗方式。内窥镜鼻咽切除术被认为是一种安全可行的方法,可以克服开放式手术的并发症。肿瘤与颈内动脉(ICA)的邻接不是内窥镜方法的绝对矛盾。即使在靠近关键结构的情况下,在宣布肿瘤不可切除之前,外科医生应仔细探索手术的可行性。我们介绍了一名56岁的男性,该男性患有经内窥镜鼻咽切除术治疗的ICA附近的鼻咽局部复发性腺样囊性癌(AdCC)。
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