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Clinical experience of combined organ-preserving treatment of laryngopharyngeal cancer with spread to the cervical esophagus
- Authors: Rozhnov V.A.1, Spirin P.I.1, Polkin V.V.1, Gulidov I.А.1, Dem’yanovich A.V.1, Kaprin A.D.2,3, Ivanov S.A.1
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Affiliations:
- A.F. Tsyb Medical Radiological Research Center – branch of the National Medical Research Center of Radiology, Ministry of Health of Russia
- National Medical Research Center of Radiology, Ministry of Health of Russia
- Medical Institute, Peoples’ Friendship University of Russia
- Issue: Vol 13, No 3 (2023)
- Pages: 82-88
- Section: CASE REPORT
- Published: 11.12.2023
- URL: https://ogsh.abvpress.ru/jour/article/view/917
- DOI: https://doi.org/10.17650/2222-1468-2023-13-3-82-88
- ID: 917
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Abstract
Introduction. Laryngopharyngeal cancer accounts for about half of the total number of malignant neoplasms of ENT organs. Despite the availability of examination, in most patients tumors of this localization are detected at late stages, and the long-term results of treatment of locally advanced cancer of the larynx remain unsatisfactory.
Clinical case. This article presents two clinical cases of combined organ-preserving treatment of laryngopharyngeal cancer with spread to the cervical esophagus. At the first stage, patients underwent organ-preserving surgical treatment with a reconstructive plastic component according to the methodology developed at the A.F. Tsyb Medical Radiological Research Center – branch of the National Medical Research Center of Radiology. Then a postoperative course of chemoradiotherapy was carried out.
Conclusion. The use of combined organ-preserving techniques using displaced skin-muscle flaps in the treatment of locally advanced laryngopharyngeal cancer involving the cervical esophagus allows in some cases to avoid crippling surgery, preserve the larynx and achieve satisfactory functional results, which significantly improves the quality of life of patients.
About the authors
V. A. Rozhnov
A.F. Tsyb Medical Radiological Research Center – branch of the National Medical Research Center of Radiology, Ministry of Health of Russia
Author for correspondence.
Email: vit@mrrc.obninsk.ru
ORCID iD: 0000-0003-4966-1187
Vitaly A. Rozhnov
10 Marshal Zhukov St., Obninsk 249031
Russian FederationP. I. Spirin
A.F. Tsyb Medical Radiological Research Center – branch of the National Medical Research Center of Radiology, Ministry of Health of Russia
Email: fake@neicon.ru
ORCID iD: 0000-0002-6919-9041
10 Marshal Zhukov St., Obninsk 249031
Russian FederationV. V. Polkin
A.F. Tsyb Medical Radiological Research Center – branch of the National Medical Research Center of Radiology, Ministry of Health of Russia
Email: fake@neicon.ru
ORCID iD: 0000-0003-0857-321X
10 Marshal Zhukov St., Obninsk 249031
Russian FederationI. А. Gulidov
A.F. Tsyb Medical Radiological Research Center – branch of the National Medical Research Center of Radiology, Ministry of Health of Russia
Email: fake@neicon.ru
10 Marshal Zhukov St., Obninsk 249031
Russian FederationA. V. Dem’yanovich
A.F. Tsyb Medical Radiological Research Center – branch of the National Medical Research Center of Radiology, Ministry of Health of Russia
Email: fake@neicon.ru
10 Marshal Zhukov St., Obninsk 249031
Russian FederationA. D. Kaprin
National Medical Research Center of Radiology, Ministry of Health of Russia;Medical Institute, Peoples’ Friendship University of Russia
Email: fake@neicon.ru
ORCID iD: 0000-0002-3071-3971
4 Koroleva St., Obninsk 249036, Russia ,
6 Miklukho-Maklaya St., Moscow 117198
Russian FederationS. A. Ivanov
A.F. Tsyb Medical Radiological Research Center – branch of the National Medical Research Center of Radiology, Ministry of Health of Russia
Email: fake@neicon.ru
ORCID iD: 0000-0001-7689-6032
10 Marshal Zhukov St., Obninsk 249031
Russian FederationReferences
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