Academic Journal
Cervical lymphocele: A rare complication following salvage surgery for ocular adnexal apocrine adenocarcinoma. A case report and review of the literature
| العنوان: | Cervical lymphocele: A rare complication following salvage surgery for ocular adnexal apocrine adenocarcinoma. A case report and review of the literature |
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| المؤلفون: | Lukas Hauer, Jiri Gencur, Petr Posta, Zdenek Kasl, Stepan Rusnak, Alena Skalova, Miroslava Chalupova, Jan Liska, Vlasta Merglova |
| المصدر: | Biomedical Papers, Vol 166, Iss 1, Pp 117-125 (2022) |
| بيانات النشر: | Palacký University Olomouc, Faculty of Medicine and Dentistry, 2022. |
| سنة النشر: | 2022 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | cervical lymphocele, thoracic duct injury, neck dissection, adnexal tumor, apocrine adenocarcinoma, orbit, salvage surgery, Medicine |
| الوصف: | Background. An ocular adnexal apocrine adenocarcinoma (OAAA) is an extremely rare, but potentially aggressive and life-threatening tumor with ill-defined management based only on recommendations from a limited number of reported cases. The development of cervical lymphocele following neck dissection is a very rare complication, but one with well established methods for prevention and treatment. Here we describe a previously unreported case of salvage surgery including neck dissection for OAAA in addition to an emergence of cervical lymphocele. A literature review of current knowledge on both pathological conditions is included. Methods and Results. A 58-year-old man suffering from OAAA, previously treated with multiple eye-sparing excisions and adjuvant proton therapy, underwent salvage surgery for locoregional recurrence of the tumor. A partial orbitectomy with orbital exenteration, primary reconstruction and left-sided neck dissection was performed. The procedure was complicated by a cervical lymphocele resolved after the surgical therapy. The patient remained disease-free during the one-year follow-up. Conclusion. OAAA is a locally aggressive tumor with potential to local or distant metastatic spread. Whole-body staging, regular clinico-radiological follow-up and stage-dependent therapy with surgery as the first-choice treatment is required. A cervical lymphocele as a complication of especially left-sided neck dissection is managed with a conservative or surgical therapy according to the level of lymph leakage, extent and localization of lesions, presence of local or systemic disorders and the period from primary surgery. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1213-8118 1804-7521 |
| Relation: | https://biomed.papers.upol.cz/artkey/bio-202201-0017_cervical-lymphocele-a-rare-complication-following-salvage-surgery-for-ocular-adnexal-apocrine-adenocarcinoma.php; https://doaj.org/toc/1213-8118; https://doaj.org/toc/1804-7521 |
| DOI: | 10.5507/bp.2020.051 |
| URL الوصول: | https://doaj.org/article/fe4c52f62158472ba5909ee5ff9fe522 |
| رقم الانضمام: | edsdoj.fe4c52f62158472ba5909ee5ff9fe522 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 12138118 18047521 |
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| DOI: | 10.5507/bp.2020.051 |