title: [Maxillary Cancer with Metastasis to the Rouviere Nodes -- Complete Response to Chemoradiotherapy Using a Selective Intra-Arterial Infusion Technique].
abstract: We report a case of advanced maxillary cancer with multiple lymph node metastases, including metastasis to the Rouviere nodes, which were successfully treated with chemoradiotherapy using a selective intra-arterial infusion technique.A 71-yearold man presented to our hospital with complaints of a staggering gait and epistaxis.He was diagnosed with maxillary cancer (squamous cell carcinoma)classified as T4a disease.Because multiple lymph node metastases were detected, including metastasis to the Rouviere nodes, radical surgical treatment was considered inadequate.Thus, the patient was treated with concurrent chemoradiotherapy with selective intra-arterial infusion of nedaplatin and docetaxel.After chemoradiotherapy, the maxillary cancer and lymph metastasis nearly resolved and the patient achieved a complete response.No additional surgery was needed, and the patient was discharged.We suggest that chemoradiotherapy using a selective intra-arterial infusion technique is a highly effective treatment option for patients with maxillary cancer and metastasis to the Rouviere nodes.
authors.affiliation: Dept. of Radiology, University of the Ryukyus Hospital.
authors.forename: Keita
authors.initials: K
authors.lastname: Yamashiro
authors.forename: Joichi
authors.initials: J
authors.lastname: Heianna
authors.forename: Kimei
authors.initials: K
authors.lastname: Azama
authors.forename: Yuko
authors.initials: Y
authors.lastname: Iraha
authors.forename: Tsuneo
authors.initials: T
authors.lastname: Yamashiro
authors.forename: Ryo
authors.initials: R
authors.lastname: Kinoshita
authors.forename: Takafumi
authors.initials: T
authors.lastname: Toita
authors.forename: Masatomo
authors.initials: M
authors.lastname: Toyama
authors.forename: Shinya
authors.initials: S
authors.lastname: Agena
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Maeda
authors.forename: Mikio
authors.initials: M
authors.lastname: Suzuki
authors.forename: Sadayuki
authors.initials: S
authors.lastname: Murayama
mesh_terms: D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D002294:Carcinoma, Squamous Cell / Q000556:secondary / Q000628:therapy*; D059248:Chemoradiotherapy; D000077143:Docetaxel; D006801:Humans; D007261:Infusions, Intra-Arterial; D008207:Lymphatic Metastasis; D008297:Male; D008441:Maxillary Neoplasms / Q000473:pathology / Q000628:therapy*; D009944:Organoplatinum Compounds / Q000008:administration & dosage; D012074:Remission Induction; D043823:Taxoids / Q000008:administration & dosage
chemical_list: D009944:Organoplatinum Compounds; D043823:Taxoids; D000077143:Docetaxel; C053989:nedaplatin