Preoperative Evaluation and Significance of Carotid Resection in Advanced Cervical Metastatic Cancer

Korean Journal of Head & Neck Oncology 2001;17(1):13-18.
Published online May 30, 2001.

Jung Il Cho;Young Mo Kim;Won Suk Choi;Sang Hak Choi;Chang Joon Han

진행된 경부 전이암에서 경동맥 절제를 위한 술전검사와 절제술의 의의

조정일;김영모;최원석;최상학;한창준

Abstract

Objectives: We studied what is the role of elective carotid artery resection in the management of advanced cervical metastatic cancer. Materials and Methods: 5 patients with elective carotid artery resection in advanced metastatic cervical cancer were reviewed retrospectively. The patients underwent complete neuroradiologic evaluation, including CT/MRI. angiography, duplex doppler, balloon occlusion test with EEG, and brain SPECT for determination of compatible collateral circulation after carotid artery resection.
Results
Perioperative complication were appeared in 2 patients those were middle cerebral arterial infarction and mediastinal bleeding. Postoperative mortality rate was 20%. 4 patients recurred within 1 year.
Conclusion
Preoperative collateral study rarely provide whether resection carotid artery or not. Elective carotid artery resection cannot provide locoregional control of tumor and don't promote survival.

Key Words: Carotid artery, Ballon occlusion test