Neck muscle atrophy and soft-tissue fibrosis after neck dissection and postoperative radiotherapy for oral cancer.
10.3857/roj.2015.33.4.344
- Author:
Jinu KIM
1
;
Eun Seow SHIN
;
Jeong Eon KIM
;
Sang Pil YOON
;
Young Suk KIM
Author Information
1. Department of Anatomy, Jeju National University School of Medicine, Jeju, Korea.
- Publication Type:Case Report
- Keywords:
Autopsy;
Neck muscles;
Atrophy;
Fibrosis;
Radiotherapy;
Adjuvant
- MeSH:
Aged;
Atrophy*;
Autopsy;
Chemotherapy, Adjuvant;
Fibrosis*;
Forearm;
Free Tissue Flaps;
Head and Neck Neoplasms;
Humans;
Mouth Floor;
Mouth Neoplasms*;
Neck Dissection*;
Neck Muscles*;
Neck*;
Radiotherapy*;
Radiotherapy, Adjuvant;
Survivors
- From:Radiation Oncology Journal
2015;33(4):344-349
- CountryRepublic of Korea
- Language:English
-
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.
