Neck muscle atrophy and soft-tissue fibrosis after neck dissection and postoperative radiotherapy for oral cancer
Radiation Oncology Journal
; : 344-349, 2015.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-70158
Responsible library:
WPRO
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.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Neck Dissection
/
Radiotherapy
/
Atrophy
/
Autopsy
/
Fibrosis
/
Mouth Neoplasms
/
Chemotherapy, Adjuvant
/
Survivors
/
Radiotherapy, Adjuvant
/
Free Tissue Flaps
Limits:
Aged
/
Humans
Language:
English
Journal:
Radiation Oncology Journal
Year:
2015
Document type:
Article