[Isolated mandibular metastasis of cancer of the thyroid. Mandibulectomy and reconstruction using a free vascularized peroneal graft].
Isolated mandibular metastasis from a thyroid cancer is exceptional. In our observation, it was revealed 13 years after the thyroid cancer (papillo-vesicular carcinoma which was treated with total thyroidectomy, nodes resection and I 131). Treatment included interruptive mandibulectomy and reconstruction with a free composed vascularized fibular transplant. Follow-up was uneventful. Functional and morphological results were excellent. Isolated cases are reported in the literature. Surgical resection must be achieved. The originality of our observation is the mandibular reconstruction with a free vascularized fibular transplant.
Germain
M A
MA
Département de Chirurgie Cervico-Faciale, Institut Gustave-Roussy, Villejuif.
Marandas
P
P
Leridant
A M
AM
Domenge
C
C
Julieron
M
M
Schlumberger
M
M
Mamelle
G
G
D000230:Adenocarcinoma / Q000556:secondary* / Q000601:surgery; D000328:Adult; D016025:Bone Transplantation / Q000379:methods* / Q000473:pathology; D002291:Carcinoma, Papillary / Q000556:secondary* / Q000601:surgery; D005260:Female; D005360:Fibula; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D007457:Iodine Radioisotopes / Q000627:therapeutic use; D008197:Lymph Node Excision; D008334:Mandible / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D008339:Mandibular Neoplasms / Q000556:secondary* / Q000601:surgery; D019275:Radiopharmaceuticals / Q000627:therapeutic use; D013964:Thyroid Neoplasms / Q000473:pathology* / Q000532:radiotherapy / Q000601:surgery; D013965:Thyroidectomy
D007457:Iodine Radioisotopes; D019275:Radiopharmaceuticals
Métastase mandibulaire isolée d'un cancer de la thyroïde. Mandibulectomie et reconstruction par un transplant libre de péroné vascularisé.