A Case of Tumor Recurrence at the Tracheotomy Site in Tonsil Cancer Patient

Korean Journal of Head & Neck Oncology 2016;32(1):21-23.
Published online May 30, 2016.

Seung Jae Baek;Yoon Ah Park;Jae Woo Lee;Young Sub Lee;Jeong Pyo Bong

편도암 치료 후 기관절개 부위에서 재발한 1예

백승재;박윤아;이재우;이영섭;봉정표

Abstract

The aim of this report was to present a rare case of a tracheotomy site recurrence after operation and post-oper-ative radiotherapy in head and neck squamous cell carcinoma patient. Tracheotomy site recurrence other than subglottic cancer is very rare in head and neck cancer patient. The granulation tissue around tracheotomy was a fertile "soil" for tumor cell implantation. Midline mucosal sparing block which was used to decreased acute toxicity during post-operative radiotherapy could be facilitating the tumor cell implantation. The head and neck surgeon should try every effort to reduce contamination of cancer cells during operation and consider the entire operative field should be included in post-operative radiation portals.

Key Words: Tracheotomy, Neoplasm seeding, Head and neck neoplasm, Recurrence, Radiotherapy