Practica Oto-Rhino-Laryngologica
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
Original articles
Carbon Ion Radiotherapy as an Initial Treatment in an Unresectable Head and Neck Soft Tissue Tumor
Noriko OgasawaraNaoki HyakushimaKeisuke KikuchiTomonori NagayaMasao MurakamiYoshio HishikawaIwao Yoshioka
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2011 Volume 104 Issue 12 Pages 899-903

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Abstract
Soft tissue tumor is a rare disease in the head and neck regions which is difficult to diagnose and treat. We report on a case of unresectable soft tissue tumor in the head and neck.
The patient was a 41-year-old man who noticed some swelling on the right side of his neck which had started three months prior to presenting. A tumor was found in the right neck surrounding his common carotid artery which was judged unresectable because of its location and size. The differentiated diagnosis between a synovial sarcoma and a malignant peripheral nerve sheath tumor (MPNST) was difficult. The patient underwent carbon ion radiotherapy as an initial treatment in the Hyogo Ion Beam Medical Center. There was a partial response from the tumor in his neck tumor, but it metastasized to the lung and bone and the patient died of pulmonary failure nine months after the initial treatment.
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© 2011 The Society of Practical Otolaryngology
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