Pterygoid Muscle Necrosis Caused by Radiation and Intra-Arterial Cisplatin Infusion Chemotherapy (RADPLAT): A Case Report
Abstract Introduction: Radiation and intra-arterial cisplatin infusion chemotherapy (RADPLAT) for advanced maxillary sinus cancer has accumulated evidence as a treatment with fewer complications and better 5-year survival rates. In this study, we report a case in which pterygoid muscle necrosis occu...
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Veröffentlicht in: | Case Reports in Oncology 2023-01, Vol.16 (1), p.1475-1481 |
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creator | Miyamoto, Kazuhiro Sato, Mitsuo Koike, Satoru Kimura, Takayuki Abe, Daisuke Wakasaki, Takahiro Kitano, Mutsukazu Yasumatsu, Ryuji |
description | Abstract
Introduction: Radiation and intra-arterial cisplatin infusion chemotherapy (RADPLAT) for advanced maxillary sinus cancer has accumulated evidence as a treatment with fewer complications and better 5-year survival rates. In this study, we report a case in which pterygoid muscle necrosis occurred 6 months following RADPLAT treatment for maxillary sinus cancer. Case Presentation: The 45-year-old woman had a long history of taking immunosuppressants against rheumatoid arthritis (RA) prior to treatment. Although achieving complete response (CR) to RADPLAT, the patient developed trismus (1 fingerbreadth or less) 6 months following treatment. Abscess formation and recurrence were suspected from the imaging findings; however, the biopsy with endoscopy indicated necrotic tissue. Currently, 18 months have passed without cancer recurrence. Although trismus temporarily improved with rehabilitation, the width of the mouth opening is currently a few millimeters, so the patient can only take liquid food. Conclusion: Pterygoid muscle necrosis should be recognized as a new major complication. |
doi_str_mv | 10.1159/000534939 |
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Introduction: Radiation and intra-arterial cisplatin infusion chemotherapy (RADPLAT) for advanced maxillary sinus cancer has accumulated evidence as a treatment with fewer complications and better 5-year survival rates. In this study, we report a case in which pterygoid muscle necrosis occurred 6 months following RADPLAT treatment for maxillary sinus cancer. Case Presentation: The 45-year-old woman had a long history of taking immunosuppressants against rheumatoid arthritis (RA) prior to treatment. Although achieving complete response (CR) to RADPLAT, the patient developed trismus (1 fingerbreadth or less) 6 months following treatment. Abscess formation and recurrence were suspected from the imaging findings; however, the biopsy with endoscopy indicated necrotic tissue. Currently, 18 months have passed without cancer recurrence. Although trismus temporarily improved with rehabilitation, the width of the mouth opening is currently a few millimeters, so the patient can only take liquid food. Conclusion: Pterygoid muscle necrosis should be recognized as a new major complication.</description><identifier>ISSN: 1662-6575</identifier><identifier>EISSN: 1662-6575</identifier><identifier>DOI: 10.1159/000534939</identifier><identifier>PMID: 38028578</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Abscesses ; adverse events ; Biopsy ; Body mass index ; Cancer therapies ; Care and treatment ; Case Report ; Case reports ; Chemotherapy ; Cisplatin ; Complications and side effects ; Dermatitis ; Diagnosis ; Dosage and administration ; Endoscopy ; Exocrine glands ; Face ; Head & neck cancer ; intra-arterial infusion chemotherapy ; Intravenous therapy ; Leukopenia ; maxillary sinus cancer ; Mucositis ; muscle necrosis ; Muscles ; Nausea ; Necrosis ; Nose cancer ; Radiation therapy ; Radiotherapy ; Sinuses ; Skin ; Stroke ; Surgery ; Swallowing ; Taste disorders ; Veins & arteries</subject><ispartof>Case Reports in Oncology, 2023-01, Vol.16 (1), p.1475-1481</ispartof><rights>2023 The Author(s). Published by S. Karger AG, Basel</rights><rights>COPYRIGHT 2023 S. Karger AG</rights><rights>2023 The Author(s). Published by S. Karger AG, Basel. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the associated terms available at: https://uk.sagepub.com/en-gb/eur/reusing-open-access-and-sage-choice-content</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-d59d0a27415e983db7516ae6a582458d1741de971c8d04d4d163900688e736dc3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,860,2096,27612,27901,27902</link.rule.ids></links><search><creatorcontrib>Miyamoto, Kazuhiro</creatorcontrib><creatorcontrib>Sato, Mitsuo</creatorcontrib><creatorcontrib>Koike, Satoru</creatorcontrib><creatorcontrib>Kimura, Takayuki</creatorcontrib><creatorcontrib>Abe, Daisuke</creatorcontrib><creatorcontrib>Wakasaki, Takahiro</creatorcontrib><creatorcontrib>Kitano, Mutsukazu</creatorcontrib><creatorcontrib>Yasumatsu, Ryuji</creatorcontrib><title>Pterygoid Muscle Necrosis Caused by Radiation and Intra-Arterial Cisplatin Infusion Chemotherapy (RADPLAT): A Case Report</title><title>Case Reports in Oncology</title><addtitle>Case Rep Oncol</addtitle><description>Abstract
Introduction: Radiation and intra-arterial cisplatin infusion chemotherapy (RADPLAT) for advanced maxillary sinus cancer has accumulated evidence as a treatment with fewer complications and better 5-year survival rates. In this study, we report a case in which pterygoid muscle necrosis occurred 6 months following RADPLAT treatment for maxillary sinus cancer. Case Presentation: The 45-year-old woman had a long history of taking immunosuppressants against rheumatoid arthritis (RA) prior to treatment. Although achieving complete response (CR) to RADPLAT, the patient developed trismus (1 fingerbreadth or less) 6 months following treatment. Abscess formation and recurrence were suspected from the imaging findings; however, the biopsy with endoscopy indicated necrotic tissue. Currently, 18 months have passed without cancer recurrence. Although trismus temporarily improved with rehabilitation, the width of the mouth opening is currently a few millimeters, so the patient can only take liquid food. Conclusion: Pterygoid muscle necrosis should be recognized as a new major complication.</description><subject>Abscesses</subject><subject>adverse events</subject><subject>Biopsy</subject><subject>Body mass index</subject><subject>Cancer therapies</subject><subject>Care and treatment</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Chemotherapy</subject><subject>Cisplatin</subject><subject>Complications and side effects</subject><subject>Dermatitis</subject><subject>Diagnosis</subject><subject>Dosage and administration</subject><subject>Endoscopy</subject><subject>Exocrine glands</subject><subject>Face</subject><subject>Head & neck cancer</subject><subject>intra-arterial infusion chemotherapy</subject><subject>Intravenous therapy</subject><subject>Leukopenia</subject><subject>maxillary sinus cancer</subject><subject>Mucositis</subject><subject>muscle necrosis</subject><subject>Muscles</subject><subject>Nausea</subject><subject>Necrosis</subject><subject>Nose cancer</subject><subject>Radiation therapy</subject><subject>Radiotherapy</subject><subject>Sinuses</subject><subject>Skin</subject><subject>Stroke</subject><subject>Surgery</subject><subject>Swallowing</subject><subject>Taste disorders</subject><subject>Veins & arteries</subject><issn>1662-6575</issn><issn>1662-6575</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>M--</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNptkUtv1DAUhSMEoqWwYM_CUjd0kWLHb3ZReI000GpU1tad2Jl6mIlTO1nk3-MhaMQCeWHrnu8e30dRvCX4lhCuP2CMOWWa6mfFJRGiKgWX_Pk_74viVUp7jIXmgr8sLqjCleJSXRbz_ejivAveou9Tag8O_XBtDMkn1MCUnEXbGW3Aehh96BH0Fq36MUJZx5zo4YAan4ZDVvssdFM6Uc2jO4bx0UUYZvR-U3-6X9cPNx9RnT2TQxs3hDi-Ll50cEjuzd_7qvj55fND861c331dNfW6bJlkY2m5thgqyQh3WlG7lZwIcAK4qhhXlmTFOi1JqyxmllkiqM6dKuUkFbalV8Vq8bUB9maI_ghxNgG8-RMIcWcgjj63bpRk3XZLKyUwZS5_KzumRAe4gpZoybLX9eI1xPA0uTSafZhin8s3lcaM5PkqnqnbhdpBNvV9F_LA2nysO_o29K7zOV5LKRSriD7Z3iwJp8mn6LpzmQSb04bNecOZfbewvyDuXDyTZ_n6v3KzuVsIM9iO_gYP56im</recordid><startdate>20230101</startdate><enddate>20230101</enddate><creator>Miyamoto, Kazuhiro</creator><creator>Sato, Mitsuo</creator><creator>Koike, Satoru</creator><creator>Kimura, Takayuki</creator><creator>Abe, Daisuke</creator><creator>Wakasaki, Takahiro</creator><creator>Kitano, Mutsukazu</creator><creator>Yasumatsu, Ryuji</creator><general>S. 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Introduction: Radiation and intra-arterial cisplatin infusion chemotherapy (RADPLAT) for advanced maxillary sinus cancer has accumulated evidence as a treatment with fewer complications and better 5-year survival rates. In this study, we report a case in which pterygoid muscle necrosis occurred 6 months following RADPLAT treatment for maxillary sinus cancer. Case Presentation: The 45-year-old woman had a long history of taking immunosuppressants against rheumatoid arthritis (RA) prior to treatment. Although achieving complete response (CR) to RADPLAT, the patient developed trismus (1 fingerbreadth or less) 6 months following treatment. Abscess formation and recurrence were suspected from the imaging findings; however, the biopsy with endoscopy indicated necrotic tissue. Currently, 18 months have passed without cancer recurrence. Although trismus temporarily improved with rehabilitation, the width of the mouth opening is currently a few millimeters, so the patient can only take liquid food. Conclusion: Pterygoid muscle necrosis should be recognized as a new major complication.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>38028578</pmid><doi>10.1159/000534939</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Abscesses adverse events Biopsy Body mass index Cancer therapies Care and treatment Case Report Case reports Chemotherapy Cisplatin Complications and side effects Dermatitis Diagnosis Dosage and administration Endoscopy Exocrine glands Face Head & neck cancer intra-arterial infusion chemotherapy Intravenous therapy Leukopenia maxillary sinus cancer Mucositis muscle necrosis Muscles Nausea Necrosis Nose cancer Radiation therapy Radiotherapy Sinuses Skin Stroke Surgery Swallowing Taste disorders Veins & arteries |
title | Pterygoid Muscle Necrosis Caused by Radiation and Intra-Arterial Cisplatin Infusion Chemotherapy (RADPLAT): A Case Report |
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