Radiation Oncology Journal

The Korean Society for Radiation Oncology (대한방사선종양학회)
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Neck muscle atrophy and soft-tissue fibrosis after neck dissection and postoperative radiotherapy for oral cancer

  • Kim, Jinu (Department of Anatomy, Jeju National University School of Medicine) ;
  • Shin, Eun Seow (Medical Course, Jeju National University School of Medicine) ;
  • Kim, Jeong Eon (Medical Course, Jeju National University School of Medicine) ;
  • Yoon, Sang Pil (Department of Anatomy, Jeju National University School of Medicine) ;
  • Kim, Young Suk (Department of Radiation Oncology, Jeju National University Hospital, Jeju National University School of Medicine)
  • Received : 2015.09.24
  • Accepted : 2015.12.08
  • Published : 2015.12.31
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Abstract

Late complications of head and neck cancer survivors include neck muscle atrophy and soft-tissue fibrosis. We present an autopsy case of neck muscle atrophy and soft-tissue fibrosis (sternocleidomastoid, omohyoid, digastric, sternohyoid, sternothyroid, and platysma muscles) within the radiation field after modified radical neck dissection type I and postoperative radiotherapy for floor of mouth cancer. A 70-year-old man underwent primary tumor resection of the left floor of mouth, left marginal mandibulectomy, left modified radical neck dissection type I, and reconstruction with a radial forearm free flap. The patient received adjuvant radiotherapy. The dose to the primary tumor bed and involved neck nodes was 63 Gy in 35 fractions over 7 weeks. Areas of subclinical disease (left lower neck) received 50 Gy in 25 fractions over 5 weeks. Adjuvant chemotherapy was not administered.

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