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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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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. |
format | Online Article Text |
id | pubmed-10076646 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
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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