LymphedemaV1, Main, Exploration, bibRecord, 001891

Resection and reconstruction of giant cervical metastatic cancer using a pectoralis major muscular flap transfer: A prospective study of 16 patients

Identifieur interne : 001891 ( Main/Exploration ); précédent : 001890; suivant : 001892

Resection and reconstruction of giant cervical metastatic cancer using a pectoralis major muscular flap transfer: A prospective study of 16 patients

Auteurs : Xiangmin Zhang [République populaire de Chine] ; Folin Liu [République populaire de Chine] ; Xiaolin Lan [République populaire de Chine] ; Jing Huang [République populaire de Chine] ; Keqing Luo [République populaire de Chine] ; Shaojin Li [République populaire de Chine]

Source :

Oncology Letters [ 1792-1074 ] ; 2015.

RBID : PMC:4487163

Abstract

If not promptly or properly treated, certain cervical metastatic cancers that develop from unknown primary tumors may rapidly grow into giant tumors that can invade the blood vessels, muscle and skin. The present study examined the feasibility and efficacy of radical neck dissection combined with reconstruction using the pectoralis major myocutaneous flap for the treatment of giant cervical metastatic cancers that have developed from unknown primary tumors and have invaded the skin. A total of 16 patients who met the inclusion criteria were subjected to radical neck dissection to adequately resect invaded skin, and the pectoralis major myocutaneous flap was used to repair the large skin defect created in the cervical region. Following the surgery, the patients received concurrent chemoradiotherapy. The pectoralis major myocutaneous flap survived in all 16 patients, with no cases of flap necrosis. In addition, no post-operative lymphedema, paresthesia or dysfunction of an upper extremity occurred due to the cutting of a pectoralis major muscle. In 9 cases, patients were satisfied with their post-operative shoulder movement at the donor site; in the remaining 7 cases, patients felt greater weakness in this region following surgery relative to prior to surgery. The 14 male patients were generally satisfied with the post-operative appearance of the donor region, whereas the 2 female patients were dissatisfied with the appearance of this region. Follow-up for 6–53 months after the patients were discharged following surgery and chemotherapy revealed that the recurrence of cervical tumors in 6 cases. Overall, radical neck dissection combined with the use of the pectoralis major myocutaneous flap for reconstruction is a feasible approach for the treatment of giant cervical metastatic cancers that have developed from unknown primary tumors and have invaded the skin. Post-operative concurrent chemoradiotherapy should be administered to improve the local control rate and patient quality of life, allowing a satisfactory therapeutic efficacy to be achieved.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4487163

DOI: 10.3892/ol.2015.3158
PubMed: 26171033
PubMed Central: 4487163

Affiliations:

République populaire de Chine

Le document en format XML

<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Resection and reconstruction of giant cervical metastatic cancer using a pectoralis major muscular flap transfer: A prospective study of 16 patients</title>
<author><name sortKey="Zhang, Xiangmin" sort="Zhang, Xiangmin" uniqKey="Zhang X" first="Xiangmin" last="Zhang">Xiangmin Zhang</name>
<affiliation wicri:level="1"><nlm:aff id="af1-ol-0-0-3158">Department of Head and Neck, Tumor Hospital of Ganzhou, Ganzhou, Jiangxi, P.R. China</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country>
<wicri:regionArea>Department of Head and Neck, Tumor Hospital of Ganzhou, Ganzhou, Jiangxi</wicri:regionArea>
<wicri:noRegion>Jiangxi</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Liu, Folin" sort="Liu, Folin" uniqKey="Liu F" first="Folin" last="Liu">Folin Liu</name>
<affiliation wicri:level="1"><nlm:aff id="af2-ol-0-0-3158">Institute of Cancer Research, First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, P.R. China</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country>
<wicri:regionArea>Institute of Cancer Research, First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi</wicri:regionArea>
<wicri:noRegion>Jiangxi</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Lan, Xiaolin" sort="Lan, Xiaolin" uniqKey="Lan X" first="Xiaolin" last="Lan">Xiaolin Lan</name>
<affiliation wicri:level="1"><nlm:aff id="af1-ol-0-0-3158">Department of Head and Neck, Tumor Hospital of Ganzhou, Ganzhou, Jiangxi, P.R. China</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country>
<wicri:regionArea>Department of Head and Neck, Tumor Hospital of Ganzhou, Ganzhou, Jiangxi</wicri:regionArea>
<wicri:noRegion>Jiangxi</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Huang, Jing" sort="Huang, Jing" uniqKey="Huang J" first="Jing" last="Huang">Jing Huang</name>
<affiliation wicri:level="1"><nlm:aff id="af3-ol-0-0-3158">Ganzhou Institute of Cancer Research, Ganzhou, Jiangxi, P.R. China</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country>
<wicri:regionArea>Ganzhou Institute of Cancer Research, Ganzhou, Jiangxi</wicri:regionArea>
<wicri:noRegion>Jiangxi</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Luo, Keqing" sort="Luo, Keqing" uniqKey="Luo K" first="Keqing" last="Luo">Keqing Luo</name>
<affiliation wicri:level="1"><nlm:aff id="af1-ol-0-0-3158">Department of Head and Neck, Tumor Hospital of Ganzhou, Ganzhou, Jiangxi, P.R. China</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country>
<wicri:regionArea>Department of Head and Neck, Tumor Hospital of Ganzhou, Ganzhou, Jiangxi</wicri:regionArea>
<wicri:noRegion>Jiangxi</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Li, Shaojin" sort="Li, Shaojin" uniqKey="Li S" first="Shaojin" last="Li">Shaojin Li</name>
<affiliation wicri:level="1"><nlm:aff id="af3-ol-0-0-3158">Ganzhou Institute of Cancer Research, Ganzhou, Jiangxi, P.R. China</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country>
<wicri:regionArea>Ganzhou Institute of Cancer Research, Ganzhou, Jiangxi</wicri:regionArea>
<wicri:noRegion>Jiangxi</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">26171033</idno>
<idno type="pmc">4487163</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4487163</idno>
<idno type="RBID">PMC:4487163</idno>
<idno type="doi">10.3892/ol.2015.3158</idno>
<date when="2015">2015</date>
<idno type="wicri:Area/Pmc/Corpus">000304</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000304</idno>
<idno type="wicri:Area/Pmc/Curation">000304</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000304</idno>
<idno type="wicri:Area/Pmc/Checkpoint">000F02</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000F02</idno>
<idno type="wicri:source">PubMed</idno>
<idno type="wicri:Area/PubMed/Corpus">000D76</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000D76</idno>
<idno type="wicri:Area/PubMed/Curation">000D76</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000D76</idno>
<idno type="wicri:Area/PubMed/Checkpoint">000D76</idno>
<idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000D76</idno>
<idno type="wicri:Area/Ncbi/Merge">007603</idno>
<idno type="wicri:Area/Ncbi/Curation">007603</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">007603</idno>
<idno type="wicri:doubleKey">1792-1074:2015:Zhang X:resection:and:reconstruction</idno>
<idno type="wicri:Area/Main/Merge">001893</idno>
<idno type="wicri:Area/Main/Curation">001891</idno>
<idno type="wicri:Area/Main/Exploration">001891</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Resection and reconstruction of giant cervical metastatic cancer using a pectoralis major muscular flap transfer: A prospective study of 16 patients</title>
<author><name sortKey="Zhang, Xiangmin" sort="Zhang, Xiangmin" uniqKey="Zhang X" first="Xiangmin" last="Zhang">Xiangmin Zhang</name>
<affiliation wicri:level="1"><nlm:aff id="af1-ol-0-0-3158">Department of Head and Neck, Tumor Hospital of Ganzhou, Ganzhou, Jiangxi, P.R. China</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country>
<wicri:regionArea>Department of Head and Neck, Tumor Hospital of Ganzhou, Ganzhou, Jiangxi</wicri:regionArea>
<wicri:noRegion>Jiangxi</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Liu, Folin" sort="Liu, Folin" uniqKey="Liu F" first="Folin" last="Liu">Folin Liu</name>
<affiliation wicri:level="1"><nlm:aff id="af2-ol-0-0-3158">Institute of Cancer Research, First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, P.R. China</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country>
<wicri:regionArea>Institute of Cancer Research, First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi</wicri:regionArea>
<wicri:noRegion>Jiangxi</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Lan, Xiaolin" sort="Lan, Xiaolin" uniqKey="Lan X" first="Xiaolin" last="Lan">Xiaolin Lan</name>
<affiliation wicri:level="1"><nlm:aff id="af1-ol-0-0-3158">Department of Head and Neck, Tumor Hospital of Ganzhou, Ganzhou, Jiangxi, P.R. China</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country>
<wicri:regionArea>Department of Head and Neck, Tumor Hospital of Ganzhou, Ganzhou, Jiangxi</wicri:regionArea>
<wicri:noRegion>Jiangxi</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Huang, Jing" sort="Huang, Jing" uniqKey="Huang J" first="Jing" last="Huang">Jing Huang</name>
<affiliation wicri:level="1"><nlm:aff id="af3-ol-0-0-3158">Ganzhou Institute of Cancer Research, Ganzhou, Jiangxi, P.R. China</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country>
<wicri:regionArea>Ganzhou Institute of Cancer Research, Ganzhou, Jiangxi</wicri:regionArea>
<wicri:noRegion>Jiangxi</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Luo, Keqing" sort="Luo, Keqing" uniqKey="Luo K" first="Keqing" last="Luo">Keqing Luo</name>
<affiliation wicri:level="1"><nlm:aff id="af1-ol-0-0-3158">Department of Head and Neck, Tumor Hospital of Ganzhou, Ganzhou, Jiangxi, P.R. China</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country>
<wicri:regionArea>Department of Head and Neck, Tumor Hospital of Ganzhou, Ganzhou, Jiangxi</wicri:regionArea>
<wicri:noRegion>Jiangxi</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Li, Shaojin" sort="Li, Shaojin" uniqKey="Li S" first="Shaojin" last="Li">Shaojin Li</name>
<affiliation wicri:level="1"><nlm:aff id="af3-ol-0-0-3158">Ganzhou Institute of Cancer Research, Ganzhou, Jiangxi, P.R. China</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country>
<wicri:regionArea>Ganzhou Institute of Cancer Research, Ganzhou, Jiangxi</wicri:regionArea>
<wicri:noRegion>Jiangxi</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">Oncology Letters</title>
<idno type="ISSN">1792-1074</idno>
<idno type="eISSN">1792-1082</idno>
<imprint><date when="2015">2015</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p>If not promptly or properly treated, certain cervical metastatic cancers that develop from unknown primary tumors may rapidly grow into giant tumors that can invade the blood vessels, muscle and skin. The present study examined the feasibility and efficacy of radical neck dissection combined with reconstruction using the pectoralis major myocutaneous flap for the treatment of giant cervical metastatic cancers that have developed from unknown primary tumors and have invaded the skin. A total of 16 patients who met the inclusion criteria were subjected to radical neck dissection to adequately resect invaded skin, and the pectoralis major myocutaneous flap was used to repair the large skin defect created in the cervical region. Following the surgery, the patients received concurrent chemoradiotherapy. The pectoralis major myocutaneous flap survived in all 16 patients, with no cases of flap necrosis. In addition, no post-operative lymphedema, paresthesia or dysfunction of an upper extremity occurred due to the cutting of a pectoralis major muscle. In 9 cases, patients were satisfied with their post-operative shoulder movement at the donor site; in the remaining 7 cases, patients felt greater weakness in this region following surgery relative to prior to surgery. The 14 male patients were generally satisfied with the post-operative appearance of the donor region, whereas the 2 female patients were dissatisfied with the appearance of this region. Follow-up for 6–53 months after the patients were discharged following surgery and chemotherapy revealed that the recurrence of cervical tumors in 6 cases. Overall, radical neck dissection combined with the use of the pectoralis major myocutaneous flap for reconstruction is a feasible approach for the treatment of giant cervical metastatic cancers that have developed from unknown primary tumors and have invaded the skin. Post-operative concurrent chemoradiotherapy should be administered to improve the local control rate and patient quality of life, allowing a satisfactory therapeutic efficacy to be achieved.</p>
</div>
</front>
</TEI>
<affiliations><list><country><li>République populaire de Chine</li>
</country>
</list>
<tree><country name="République populaire de Chine"><noRegion><name sortKey="Zhang, Xiangmin" sort="Zhang, Xiangmin" uniqKey="Zhang X" first="Xiangmin" last="Zhang">Xiangmin Zhang</name>
</noRegion>
<name sortKey="Huang, Jing" sort="Huang, Jing" uniqKey="Huang J" first="Jing" last="Huang">Jing Huang</name>
<name sortKey="Lan, Xiaolin" sort="Lan, Xiaolin" uniqKey="Lan X" first="Xiaolin" last="Lan">Xiaolin Lan</name>
<name sortKey="Li, Shaojin" sort="Li, Shaojin" uniqKey="Li S" first="Shaojin" last="Li">Shaojin Li</name>
<name sortKey="Liu, Folin" sort="Liu, Folin" uniqKey="Liu F" first="Folin" last="Liu">Folin Liu</name>
<name sortKey="Luo, Keqing" sort="Luo, Keqing" uniqKey="Luo K" first="Keqing" last="Luo">Keqing Luo</name>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Main/Exploration

HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001891 | SxmlIndent | more

HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 001891 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Wicri/Sante
   |area=    LymphedemaV1
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     PMC:4487163
   |texte=   Resection and reconstruction of giant cervical metastatic cancer using a pectoralis major muscular flap transfer: A prospective study of 16 patients
}}

Pour générer des pages wiki

HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i   -Sk "pubmed:26171033" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd   \
       | NlmPubMed2Wicri -a LymphedemaV1

This area was generated with Dilib version V0.6.31.
Data generation: Sat Nov 4 17:40:35 2017. Site generation: Tue Feb 13 16:42:16 2024

Serveur d'exploration sur le lymphœdème

Resection and reconstruction of giant cervical metastatic cancer using a pectoralis major muscular flap transfer: A prospective study of 16 patients

Resection and reconstruction of giant cervical metastatic cancer using a pectoralis major muscular flap transfer: A prospective study of 16 patients

Source :

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki

	Serveur d'exploration sur le lymphœdème
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.