2006年
Clinical inspection of metastasis to the mesenteric lymph nodes in patients with hypopharyngeal cancer after pharyngolaryngectomy with free jejunal graft-136 cases
Journal of Otolaryngology of Japan
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- 巻
- 109
- 号
- 1
- 開始ページ
- 19
- 終了ページ
- 23
- 記述言語
- 日本語
- 掲載種別
- 書評論文,書評,文献紹介等
- DOI
- 10.3950/jibiinkoka.109.19
- 出版者・発行元
- Oto-Rhino-Laryngological Society of Japan Inc.
Single-stage reconstruction of the pharyngoesophagus with a free jejunal graft is considered standard surgical treatment for hypopharyngeal cancer. We reviewed postoperative cervical CTs in 72 of 136 consecutive patients (1982-2002) undergoing this therapy in our department. Of these, 29 (40%) showed mesenteric lymph node swelling (>
10mm) in grafts. Most swelling is considered reactive, but 1 patient showed pathological metastasis in fine-needle aspiration cytology (FNA). When metastasis is clinically suspected in imaging study and other examinations, FNA should be done carefully with guided ultrasound echo-imaging, to avoid damaging vascular grafts and necrosis of the jejunal graft.
10mm) in grafts. Most swelling is considered reactive, but 1 patient showed pathological metastasis in fine-needle aspiration cytology (FNA). When metastasis is clinically suspected in imaging study and other examinations, FNA should be done carefully with guided ultrasound echo-imaging, to avoid damaging vascular grafts and necrosis of the jejunal graft.
- ID情報
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- DOI : 10.3950/jibiinkoka.109.19
- ISSN : 0030-6622
- SCOPUS ID : 32844456358