%0 Journal Article
%T Papel de la cirug赤a de sustituci車n vascular en la infiltraci車n arterial metast芍sica Role of vascular replacement surgery in the metastatic arterial infiltration
%A Juan C Collado Otero
%A Dagmar Paredes L車pez
%A Jos谷 M V芍zquez
%J Revista Cubana de Cirug赤a
%D 2008
%I Editorial Ciencias M谷dicas
%X Se presenta el caso de una mujer de 40 a os de edad, tratada por v赤as convencionales a causa de un carcinoma epidermoide infiltrante del canal anal, con patr車n basaloide. La evoluci車n ulterior permiti車 reconocer la aparici車n subsecuente de met芍stasis ganglionares en la regi車n inguinocrural derecha 6 meses despu谷s. La ecograf赤a Doppler del territorio iliofemoral indic車 desplazamiento y compresi車n arterial femoral com迆n con infiltraci車n de la pared del vaso, que se trat車 efectivamente con excisi車n radical de la met芍stasis y reconstrucci車n vascular femoral con injerto venoso de safena. Se obtuvieron buenos resultados funcionales The case of a 40-year-old female conventionally treated due to an infiltrating epidermoid carcinoma of the anal canal with basaloid pattern was presented. The further evolution allowed to recognize the subsequent appearance of ganglionic metastases in the right inguinocrural region 6 months later. Doppler echography of the iliofemoral territory indicated displacement and common arterial femoral compression with infiltration of the vessel wall that was effectively treated by radical excision of the metastasis and femoral vascular reconstruction with venous graft of the saphena . Good functional results were obtained
%K C芍ncer de canal anal
%K reconstrucci車n vascular femoral
%K infiltraci車n arterial femoral metast芍sica
%K Anal canal cancer
%K femoral vascular reconstruction
%K metastatic femoral arterial infiltration
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932008000100011