Late Prevertebral and Spinal Abscess following Chemoradiation for Laryngeal Squamous Cell Carcinoma
Objective. Advanced primary supraglottic tumors (i.e., T3 or T4) have traditionally been treated surgically and postoperative radiotherapy. In the last 2 decades, some patients were treated with chemoradiation avoiding surgery. Case Report. We describe a 55-year old female who presented with respira...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2014/425724 |
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| author | Jawad Hindy Ilan Shelef Yuval Slovik Ben-Zion Joshua |
| author_facet | Jawad Hindy Ilan Shelef Yuval Slovik Ben-Zion Joshua |
| author_sort | Jawad Hindy |
| collection | DOAJ |
| description | Objective. Advanced primary supraglottic tumors (i.e., T3 or T4) have traditionally been treated surgically and postoperative radiotherapy. In the last 2 decades, some patients were treated with chemoradiation avoiding surgery. Case Report. We describe a 55-year old female who presented with respiratory distress and paraplegia seven years after treatment for a T3N0M0 supraglottic squamous cell carcinoma. CT scan showed prevertebral and intraspinal air descending from C4 to D3 vertebras. Epidural and prevertebral abscesses were confirmed by neck exploration. Necrosis was observed in the retropharyngeal, prevertebral, and vertebral tissues. Conclusion. Prevertebral and spinal abscess may result from chemotherapy and radiotherapy to the head and neck. Physicians caring for head and neck cancer patients treated with chemotherapy and radiation should be aware of this rare severe complication. |
| format | Article |
| id | doaj-art-49e446475b5d4a1080e7a4763260acdd |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-49e446475b5d4a1080e7a4763260acdd2025-02-03T06:01:14ZengWileyCase Reports in Otolaryngology2090-67652090-67732014-01-01201410.1155/2014/425724425724Late Prevertebral and Spinal Abscess following Chemoradiation for Laryngeal Squamous Cell CarcinomaJawad Hindy0Ilan Shelef1Yuval Slovik2Ben-Zion Joshua3Department of Otolaryngology & Head and Neck Surgery, Soroka University Medical Center, Ben Gurion University of the Negev, Rager Avenue, 84101 Beer-Sheva, IsraelDepartment of Radiology, Soroka University Medical Center, Ben Gurion University of the Negev, 84101 Beer-Sheva, IsraelDepartment of Otolaryngology & Head and Neck Surgery, Soroka University Medical Center, Ben Gurion University of the Negev, Rager Avenue, 84101 Beer-Sheva, IsraelDepartment of Otolaryngology & Head and Neck Surgery, Soroka University Medical Center, Ben Gurion University of the Negev, Rager Avenue, 84101 Beer-Sheva, IsraelObjective. Advanced primary supraglottic tumors (i.e., T3 or T4) have traditionally been treated surgically and postoperative radiotherapy. In the last 2 decades, some patients were treated with chemoradiation avoiding surgery. Case Report. We describe a 55-year old female who presented with respiratory distress and paraplegia seven years after treatment for a T3N0M0 supraglottic squamous cell carcinoma. CT scan showed prevertebral and intraspinal air descending from C4 to D3 vertebras. Epidural and prevertebral abscesses were confirmed by neck exploration. Necrosis was observed in the retropharyngeal, prevertebral, and vertebral tissues. Conclusion. Prevertebral and spinal abscess may result from chemotherapy and radiotherapy to the head and neck. Physicians caring for head and neck cancer patients treated with chemotherapy and radiation should be aware of this rare severe complication.http://dx.doi.org/10.1155/2014/425724 |
| spellingShingle | Jawad Hindy Ilan Shelef Yuval Slovik Ben-Zion Joshua Late Prevertebral and Spinal Abscess following Chemoradiation for Laryngeal Squamous Cell Carcinoma Case Reports in Otolaryngology |
| title | Late Prevertebral and Spinal Abscess following Chemoradiation for Laryngeal Squamous Cell Carcinoma |
| title_full | Late Prevertebral and Spinal Abscess following Chemoradiation for Laryngeal Squamous Cell Carcinoma |
| title_fullStr | Late Prevertebral and Spinal Abscess following Chemoradiation for Laryngeal Squamous Cell Carcinoma |
| title_full_unstemmed | Late Prevertebral and Spinal Abscess following Chemoradiation for Laryngeal Squamous Cell Carcinoma |
| title_short | Late Prevertebral and Spinal Abscess following Chemoradiation for Laryngeal Squamous Cell Carcinoma |
| title_sort | late prevertebral and spinal abscess following chemoradiation for laryngeal squamous cell carcinoma |
| url | http://dx.doi.org/10.1155/2014/425724 |
| work_keys_str_mv | AT jawadhindy lateprevertebralandspinalabscessfollowingchemoradiationforlaryngealsquamouscellcarcinoma AT ilanshelef lateprevertebralandspinalabscessfollowingchemoradiationforlaryngealsquamouscellcarcinoma AT yuvalslovik lateprevertebralandspinalabscessfollowingchemoradiationforlaryngealsquamouscellcarcinoma AT benzionjoshua lateprevertebralandspinalabscessfollowingchemoradiationforlaryngealsquamouscellcarcinoma |