Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
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Preoperative Evaluation and Significance of Carotid Resection in Advanced Cervical Metastatic Cancer

진행된 경부 전이암에서 경동맥 절제를 위한 술전검사와 절제술의 의의

  • Cho Jung-Il (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, InHa University) ;
  • Kim Young-Mo (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, InHa University) ;
  • Choi Won-Suk (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, InHa University) ;
  • Choi Sang-Hak (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, InHa University) ;
  • Han Chang-Joon (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Kunkuk University)
  • 조정일 (인하대학교 의과대학 이비인후-두경부외과학교실) ;
  • 김영모 (인하대학교 의과대학 이비인후-두경부외과학교실) ;
  • 최원석 (인하대학교 의과대학 이비인후-두경부외과학교실) ;
  • 최상학 (인하대학교 의과대학 이비인후-두경부외과학교실) ;
  • 한창준 (건국대학교 의과대학 이 비인후과학교실)
  • Published : 2001.05.01
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Abstract

Objectives: We studied what is the role of elective carotid artery resection in the management of advanced cervical metastatic cancer. Materials and Methods: 5 patients with elective carotid artery resection in advanced metastatic cervical cancer were reviewed retrospectively. The patients underwent complete neuroradiologic evaluation, including CT/MRI. angiography, duplex doppler, balloon occlusion test with EEG, and brain SPECT for determination of compatible collateral circulation after carotid artery resection. Results: Perioperative complication were appeared in 2 patients those were middle cerebral arterial infarction and mediastinal bleeding. Postoperative mortality rate was 20%. 4 patients recurred within 1 year. Conclusion: Preoperative collateral study rarely provide whether resection carotid artery or not. Elective carotid artery resection cannot provide locoregional control of tumor and don't promote survival.

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