title: Surgical management of metastases that involve the carotid artery in cases of primary squamous cell carcinoma of the head and neck.
abstract: The surgical management of advanced cervical metastases with carotid artery involvement in patients with primary squamous cell carcinoma of the head and neck can be difficult. The authors retrospectively reviewed 73 patients over a 15-year period comparing the outcomes of carotid artery resection versus peeling the tumour off the carotid artery. Based on these findings, the authors suggest that in the absence of carotid wall involvement, nodal metastatic tumour should be peeled off the carotid artery where possible. This practice appears to have a lower morbidity than that associated with arterial reconstruction. Steps to minimize cerebrovascular injury are discussed.
authors.affiliation: Department of Head and Neck Surgery, Cancer Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100021, China.
authors.forename: X
authors.initials: X
authors.lastname: Zhengang
authors.forename: S
authors.initials: S
authors.lastname: Colbert
authors.forename: P A
authors.initials: PA
authors.lastname: Brennan
authors.forename: B
authors.initials: B
authors.lastname: Xue
authors.forename: Q
authors.initials: Q
authors.lastname: Yongfa
authors.forename: T
authors.initials: T
authors.lastname: Pingzhang
authors.forename: P
authors.initials: P
authors.lastname: Ramchandani
authors.forename: V
authors.initials: V
authors.lastname: Ilankovan
mesh_terms: D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D002339:Carotid Arteries / Q000473:pathology / Q000601:surgery*; D002681:China; D005260:Female; D006258:Head and Neck Neoplasms / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D012189:Retrospective Studies; D015996:Survival Rate; D016896:Treatment Outcome; D006113:United Kingdom; D019043:Vascular Neoplasms / Q000556:secondary* / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000379:methods*