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Williams TP, Cox MW, Jana B, Ross MI, Fisher SB, Walker JP, Hume CB, Mayo LL, Tyler DS. Vascular stenting of a malignant arterial blowout as a bridge to effective systemic and regional therapy. J Surg Oncol 2024; 129:1209-1212. [PMID: 38534025 DOI: 10.1002/jso.27623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2024] [Accepted: 03/03/2024] [Indexed: 03/28/2024]
Abstract
Locally advanced cutaneous squamous cell carcinoma can erode into blood vessels, leading to vascular blowout, requiring emergent surgical intervention. We describe a first case of this disease complication which was effectively managed with endovascular stenting as a bridge to effective systemic and regional therapy. We discuss the efficacy of this staged approach which is novel and timely in a clinical environment of increasingly effective systemic therapies.
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Affiliation(s)
- Taylor P Williams
- Department of Surgery, The University of Texas Medical Branch, Galveston, Texas, USA
| | - Mitchell W Cox
- Department of Surgery, The University of Texas Medical Branch, Galveston, Texas, USA
| | - Bagi Jana
- Department of Medicine, The University of Texas Medical Branch, Galveston, Texas, USA
- Department of General Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA
| | - Merrick I Ross
- Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA
| | - Sarah B Fisher
- Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA
| | - John P Walker
- Department of Surgery, The University of Texas Medical Branch, Galveston, Texas, USA
| | - Celyne B Hume
- Department of General Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA
| | - Lauren L Mayo
- Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA
| | - Douglas S Tyler
- Department of Surgery, The University of Texas Medical Branch, Galveston, Texas, USA
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