Feeding Arteries of Primary Tongue Cancers on Intra-arterial Infusion Chemotherapy

Journal Article · Mon Feb 15 04:00:00 EST 2016 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-015-1159-3· OSTI ID:22469609

Kamitani, Takeshi ^[1]; Kawanami, Satoshi ^[2]; Asayama, Yoshiki; Matsuo, Yoshio; Yonezawa, Masato; Yamasaki, Yuzo ^[1]; Nagao, Michinobu ^[2]; Yamanouchi, Torahiko ^[1]; Yabuuchi, Hidetake ^[3]; Nakamura, Katsumasa ^[1]; Nakashima, Torahiko ^[4]; Honda, Hiroshi ^[1]

---

1. Kyushu University, Department of Clinical Radiology, Graduate School of Medical Sciences (Japan)
2. Kyushu University, Department of Molecular Imaging and Diagnosis, Graduate School of Medical Sciences (Japan)
3. Kyushu University, Department of Health Sciences, Graduate School of Medical Sciences (Japan)
4. Kyushu University, Department of Otorhinolaryngology, Graduate School of Medical Sciences (Japan)

PurposeTo evaluate the frequency and the predictive factor of each feeding artery on intra-arterial infusion chemotherapy (IAIC) in primary tongue cancer.Materials and MethodsWe retrospectively evaluated 20 patients who received IAIC for primary tongue cancer. The main and accompanying feeding arteries were identified on super-selective angiography of the branches of the external carotid artery. Tumor diameter, and extension to the contralateral side, tongue extrinsic muscles (TEMs), and lateral mesopharyngeal wall were determined based on magnetic resonance imaging or computed tomography findings.ResultsThe main feeding artery was the ipsilateral lingual artery (LA) in 15 of the 20 examined tumors and the contralateral LA in the other 5. Ten cancers had only one feeding artery, and multiple feeding arteries were detected in the remaining 10. Tumors >4 cm (n = 9), those with extension to the contralateral side (n = 13), and those with extension to TEMs (n = 15) were supplied by significantly larger numbers of feeding arteries compared to tumors without these features (P = 0.01, 0.049, and 0.02, respectively). The frequency of feeding from the contralateral LA was 64 % (9/14) and 17 % (1/6) in tumors with and without extension to the contralateral side, respectively. Feeding from a facial artery (FA) was not detected in tumors ≤4 cm, while 5 of the 9 (56 %) tumors >4 cm were supplied by a FA (P = 0.01).ConclusionA careful search for feeding arteries is required, especially in large tumors with extension to the contralateral side or to TEMs.

• OSTI ID: 22469609
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 2 Vol. 39; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
BIOMEDICAL RADIOGRAPHY
CAROTID ARTERIES
CHEMOTHERAPY
COMPARATIVE EVALUATIONS
COMPUTERIZED TOMOGRAPHY
INFUSION
MUSCLES
NEOPLASMS
NMR IMAGING
PATIENTS