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Robotic resection of a single adenoid cystic tumor liver metastasis using ICG fluorescence. A case report and literature review

Adenoid cystic carcinoma (AdCC) is a rare tumor that typically develops in the salivary glands and less frequently in other sites of the head and neck region. Only a few cases of resected metachronous liver metastases have been reported. Minimally invasive surgery is currently the gold standard of c...

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Autores principales: Pasquale, Alessio, Marinelli, Laura, Ciarleglio, Francesco Antonio, Campora, Michela, Salimian, Nick, Viel, Giovanni, Brolese, Alberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10076646/
https://www.ncbi.nlm.nih.gov/pubmed/37035556
http://dx.doi.org/10.3389/fsurg.2023.1162639
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author Pasquale, Alessio
Marinelli, Laura
Ciarleglio, Francesco Antonio
Campora, Michela
Salimian, Nick
Viel, Giovanni
Brolese, Alberto
author_facet Pasquale, Alessio
Marinelli, Laura
Ciarleglio, Francesco Antonio
Campora, Michela
Salimian, Nick
Viel, Giovanni
Brolese, Alberto
author_sort Pasquale, Alessio
collection PubMed
description Adenoid cystic carcinoma (AdCC) is a rare tumor that typically develops in the salivary glands and less frequently in other sites of the head and neck region. Only a few cases of resected metachronous liver metastases have been reported. Minimally invasive surgery is currently the gold standard of care for liver resections; furthermore, the use of Indocyanine Green (ICG) is continuously increasing in surgical practice, especially in cases of primary liver tumors and colorectal liver metastases, due to its capacity to enhance liver nodules. We report the case of a 54-year-old male with a single liver metastasis of AdCC, located in SIII, who presented in our center 9 months after resection of a primary tumor of the laryngotracheal junction and adjuvant proton therapy. A 25-mg injection of ICG (0.3 mg/kg) was administered 48 h before surgery in order to highlight the tumor and perform an ICG-guided resection. The lesion was clearly visible during surgery, and, given its position and the proximity to the main lobar vessels of the left lobe, we opted for a left lateral sectionectomy. The outcome was unremarkable, with no major postoperative complications. The administration of ICG 48 h before surgery seems to be a valid tool even in cases of AdCC liver metastases, providing surgeons with better visualization of the lesion and improving the precision of the resection.
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spelling pubmed-100766462023-04-07 Robotic resection of a single adenoid cystic tumor liver metastasis using ICG fluorescence. A case report and literature review Pasquale, Alessio Marinelli, Laura Ciarleglio, Francesco Antonio Campora, Michela Salimian, Nick Viel, Giovanni Brolese, Alberto Front Surg Surgery Adenoid cystic carcinoma (AdCC) is a rare tumor that typically develops in the salivary glands and less frequently in other sites of the head and neck region. Only a few cases of resected metachronous liver metastases have been reported. Minimally invasive surgery is currently the gold standard of care for liver resections; furthermore, the use of Indocyanine Green (ICG) is continuously increasing in surgical practice, especially in cases of primary liver tumors and colorectal liver metastases, due to its capacity to enhance liver nodules. We report the case of a 54-year-old male with a single liver metastasis of AdCC, located in SIII, who presented in our center 9 months after resection of a primary tumor of the laryngotracheal junction and adjuvant proton therapy. A 25-mg injection of ICG (0.3 mg/kg) was administered 48 h before surgery in order to highlight the tumor and perform an ICG-guided resection. The lesion was clearly visible during surgery, and, given its position and the proximity to the main lobar vessels of the left lobe, we opted for a left lateral sectionectomy. The outcome was unremarkable, with no major postoperative complications. The administration of ICG 48 h before surgery seems to be a valid tool even in cases of AdCC liver metastases, providing surgeons with better visualization of the lesion and improving the precision of the resection. Frontiers Media S.A. 2023-03-23 /pmc/articles/PMC10076646/ /pubmed/37035556 http://dx.doi.org/10.3389/fsurg.2023.1162639 Text en © 2023 Pasquale, Marinelli, Ciarleglio, Campora, Salimian, Viel and Brolese. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Pasquale, Alessio
Marinelli, Laura
Ciarleglio, Francesco Antonio
Campora, Michela
Salimian, Nick
Viel, Giovanni
Brolese, Alberto
Robotic resection of a single adenoid cystic tumor liver metastasis using ICG fluorescence. A case report and literature review
title Robotic resection of a single adenoid cystic tumor liver metastasis using ICG fluorescence. A case report and literature review
title_full Robotic resection of a single adenoid cystic tumor liver metastasis using ICG fluorescence. A case report and literature review
title_fullStr Robotic resection of a single adenoid cystic tumor liver metastasis using ICG fluorescence. A case report and literature review
title_full_unstemmed Robotic resection of a single adenoid cystic tumor liver metastasis using ICG fluorescence. A case report and literature review
title_short Robotic resection of a single adenoid cystic tumor liver metastasis using ICG fluorescence. A case report and literature review
title_sort robotic resection of a single adenoid cystic tumor liver metastasis using icg fluorescence. a case report and literature review
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10076646/
https://www.ncbi.nlm.nih.gov/pubmed/37035556
http://dx.doi.org/10.3389/fsurg.2023.1162639
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