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Acta stomatologica Croatica : International journal of oral sciences and dental medicine, Vol. 53 No. 2, 2019.

Professional paper

https://doi.org/10.15644/asc53/2/9

Agresivni kirurški zahvat vađenja velike vratne metastaze iz nazofaringealnog karcinoma

Sha Fu ; Department of Pathology, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, Guangzhou 510120, China
Jin-song Li ; Department of Oral and Maxillofacial Surgery, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, Guangzhou 510120, China; Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation of Sun Yat-Sen Memorial Hospital, Guangz
Eduardo Dias-Ribeiro orcid id orcid.org/0000-0002-6321-4159 ; Department of Dentistry, Federal University of Campina Grande, Patos 58708110, Brazil
Julliana Cariry Palhano Freire ; Department of Dentistry, Federal University of Campina Grande, Patos 58708110, Brazil
Sheng Sun ; Division of Surgical Oncology, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 02114, USA
Song Fan ; Department of Oral and Maxillofacial Surgery, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, Guangzhou 510120, China; Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation of Sun Yat-Sen Memorial Hospital, Guangz

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Abstract

Dok nazofaringealni karcinom (NPK) obično prate limfoidne metastaze, golema cervikalna metastaza koja uzrokuje disfagiju i ograničava pokrete vrata nije uobičajen simptom za većinu slučajeva NPK-a. Opisan je slučaj 23-godišnjeg muškarca s nediferenciranim rakom nazofarinksa stupnja T3N2M0, koji je prvi put bio podvrgnut agresivnoj kirurškoj bilateralnoj resekciji velike mase u vratu, nakon čega je slijedila istodobna kemo- i radioterapija s terapijama na temelju cisplatina. Postoperativni klinički tijek bio je bez osobitosti, a na kontroli dvije godine poslije nije otkrivena ponovna pojava ni primarne lezije, ni metastaze u vratu. Ako bolesnici s NPK-om pate od kliničkih simptoma zbog velikih metastaza u vratu, preporučujemo da se u obzir uzme agresivna kirurška resekcija.

Keywords

nazofaringealni karcinom; metastaze u vratu; resekcija

Hrčak ID:

220942

URI

https://hrcak.srce.hr/220942

Publication date:

10.6.2019.

Article data in other languages: english

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