Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
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A Case of Tumor Recurrence at the Tracheotomy Site in Tonsil Cancer Patient

편도암 치료 후 기관절개 부위에서 재발한 1예

  • Baek, Seung Jae (Department of Otorhinolaryngology-Head and Neck Surgery, Yonsei University Wonju College of Medicine) ;
  • Park, Yoon Ah (Department of Otorhinolaryngology-Head and Neck Surgery, Yonsei University Wonju College of Medicine) ;
  • Lee, Jae Woo (Department of Otorhinolaryngology-Head and Neck Surgery, Yonsei University Wonju College of Medicine) ;
  • Lee, Young Sub (Department of Otorhinolaryngology-Head and Neck Surgery, Yonsei University Wonju College of Medicine) ;
  • Bong, Jeong Pyo (Department of Otorhinolaryngology-Head and Neck Surgery, Yonsei University Wonju College of Medicine)
  • 백승재 (연세대학교 원주세브란스기독병원 이비인후과) ;
  • 박윤아 (연세대학교 원주세브란스기독병원 이비인후과) ;
  • 이재우 (연세대학교 원주세브란스기독병원 이비인후과) ;
  • 이영섭 (연세대학교 원주세브란스기독병원 이비인후과) ;
  • 봉정표 (연세대학교 원주세브란스기독병원 이비인후과)
  • Received : 2015.10.29
  • Accepted : 2016.05.16
  • Published : 2016.05.30
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Abstract

The aim of this report was to present a rare case of a tracheotomy site recurrence after operation and post-operative radiotherapy in head and neck squamous cell carcinoma patient. Tracheotomy site recurrence other than subglottic cancer is very rare in head and neck cancer patient. The granulation tissue around tracheotomy was a fertile "soil" for tumor cell implantation. Midline mucosal sparing block which was used to decreased acute toxicity during post-operative radiotherapy could be facilitating the tumor cell implantation. The head and neck surgeon should try every effort to reduce contamination of cancer cells during operation and consider the entire operative field should be included in post-operative radiation portals.

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References

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