[Role of computed tomography in the follow-up of patients treated with radical surgery and reconstruction with myocutaneous flap for head and neck tumors in advanced stage].
January 1988 to April 1992, 26 patients with advanced head and neck carcinoma underwent head and neck reconstructive surgery with pectoralis major myocutaneous flap (PM-MCF). Over the same period, all cases were submitted to CT to assess the value of this technique in the follow-up. Fourteen patients relapsed (54%). Of them, 5 (36%) were positive on both clinical examination and CT; 8 cases (57%) exhibited evidence of disease on CT only and in 1 patient (7%) CT was negative and the recurrence appeared as a fistula on follow-up exams. CT was of great value in the management of the patients with advanced head and neck carcinoma treated with reconstructive surgery with PM-MCF. However, CT findings must be carefully interpreted because postoperative and postirradiation complications or anatomic alterations may mimic tumor recurrences.
Cattedra di Radioterapia Oncologica, Università degli Studi di Roma La Sapienza.
M F
MF
Osti
M
M
De Vincentiis
A
A
Minni
G
G
Potente
F
F
Scattoni Padovan
F
F
Torriero
R
R
Maurizi Enrici
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006258:Head and Neck Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000000981:diagnostic imaging*; D012680:Sensitivity and Specificity; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed
Ruolo della tomografia computerizzata nel follow-up di pazienti sottoposti a chirurgia radicale e ricostruzione con lembo miocutaneo per tumori della testa e del collo nello stadio avanzato.