Author/Editor     Kadivec, Maksimiljan; Zakotnik, Brane; Šmid, Lojze; Podkrajšek, Maja; Marolt-Mušič, Maja; Lešničar, Hotimir
Title     Spremembe na skupni vratni arteriji po kombiniranem zdravljenju karcinomov glave in vratu
Translated title     Changes in the common carotid artery following combined treatment of the head and neck carcinomas
Type     članek
Source     Med Razgl
Vol. and No.     Letnik 43, št. Suppl 3
Publication year     2004
Volume     str. 299-302
Language     slo
Abstract     OBJECTIVE: Ultrasonography of the common carotid artery following surgery of head and neck carcinoma and combined adjuvant treatment with radio- and chemotherapy was performed with the aim of finding out whether arterial wall injuries are more acute in patients treated with combined adjuvant radio- and chemotherapy (mitomycin C and bleomycin) (Group B) than in those treated with adjuvant radiotherapy alone (Group A). PATIENTS AND METHODS: A total of 62 patients, 28 in Group A and 34 in Group B, were examined with ultrasound. The patients underwent ultrasonography of both common carotid arteries (ACC), which was performed bilaterally on three sites of longitudinal and transverse sections of ACC. The examinations included measurements of the thickness of tunica intima and media of ACC performed bilaterally. The measurement results for Groups A and B were compared. RESULTS: The mean age at diagnosis for patients from Groups A and B was 52 and 51 years, respectively. No statistically significant differences were observed between the two groups in terms of changes found in the arteries with respect to the patients' sex, their smoking habits, blood pressure, cardiovascular diseases and diabetes. There was also no difference between the two groups in tumour localizations and delivered doses. In Group A, the mean thickness of the tunica intima and media on the right of the neck was 0.83 mm (range 0.5-2.0 mm), and in Group B it was 0.86 mm (range 0.4-2.5 mm) (p=0.78). In Group A, the mean thickness of the tunica intima and media on the left of the neck was 1.20 mm (range 0.5-2.5 mm), and in group B it was 0.92 mm (range 0.6-1.8 mm) (p = 0.28). No statistically significant difference was found between Groups A and B in the thickness of the tunica intima and media (on the right 0.83 mm vs. 0.86 mm, p =0.78; on the left 1.20 mm vs. 0.92mm, p=0.28). (Abstract truncated at 2000 characters).
Summary     NAMEN: Z ultrazvočnimi preiskavami na skupni vratni arteriji želimo ugotoviti, ali je pri bolnikih po operaciji karcinomov glave in vratu z dodatnim zdravljenjem s kombinacijo obsevanja in kemoterapije (Mitomycin C in Bleomycin) (skupina B) okvara žilne stene močneje izražena kot pri bolnikih, ki so zdravljeni samo z dodatnim obsevanjem (skupina A). MATERIAL IN METODE: S pomočjo ultrazvoka je bilo skupno pregledanih 62 bolnikov: 28 v skupini A in 34 v skupini B. Narejen je bil ultrazvočni pregled obeh skupnih vratnih arterij (ACC) v vzdolžnem in prečnem preseku, na treh mestih skupne vratne arterije obojestransko. Merili smo skupno debelino intime in medije (DIM) na skupnih karotidnih arterijah obojestransko. Primerjali smo rezultate meritev v skupini A in skupini B. REZULTATI: Povprečna starost ob odkritju diagnoze je v skupni A 51 let, v skupni B pa 52 let. Glede na spremembe na žilah ni opaznih nobenih statistično značilnih razlik med obema skupinama glede na spol, kajenje, krvni pritisk, bolezni srca in ožilja ali pri sladkorni bolezni. Glede na lokalizacijo tumorjev ni bilo statistično značilnih razlik med skupinama A in B, prav tako ne v prejeti dozi obsevanja. Povprečna debelina intime in medije na desni strani vratu pri skupini A je bila 0,83 mm (v razponu 0,5-2,0 mm) in pri skupini B 0,86 mm (v razponu 0,4-2,5) (p =0,78). Povprečna debelina intime in medije na levi strani vratu pri skupini A je bila 1,20 mm (v razponu 0,5-2,5 mm) in pri skupini B 0,92 mm (v razponu 0,6-1,8 mm) (p = 0,28). Opazili nismo nobene statistično pomembne razlike v debelini intime in medije med skupino A in skupino B (0,83 mm proti 0,86mm desno, p=0,78; 1,20mm proti 0,92 levo, p=0,28). (Izvleček skrajšan pri 2000 znakih).
Descriptors     HEAD AND NECK NEOPLASMS
CAROTID ARTERY, COMMON
COMBINED MODALITY THERAPY
MITOMYCIN C
BLEOMYCIN
TUNICA INTIMA
TUNICA MEDIA
NEOPLASM STAGING