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

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 %)more » 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.« less
Authors:
 [1] ;  [2] ; ; ; ;  [1] ;  [2] ;  [1] ;  [3] ;  [1] ;  [4] ;  [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)
Publication Date:
OSTI Identifier:
22469609
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 39; Journal Issue: 2; Conference: BSIR 2015: Britisch Society of Interventional Radiology 2015 annual meeting, Glasgow, Scotland (United Kingdom), 4-6 Nov 2015; Other Information: Copyright (c) 2016 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BIOMEDICAL RADIOGRAPHY; CAROTID ARTERIES; CHEMOTHERAPY; COMPARATIVE EVALUATIONS; COMPUTERIZED TOMOGRAPHY; INFUSION; MUSCLES; NEOPLASMS; NMR IMAGING; PATIENTS