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Case Reports in Oncological Medicine
Volume 2013 (2013), Article ID 379039, 4 pages
http://dx.doi.org/10.1155/2013/379039
Case Report

Radiation-Induced Carotid Artery Stenosis in a Patient with Carcinoma of the Oral Floor

1Department of Oral and Maxillofacial Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba City, Ibaraki 305-8575, Japan
2Department of Oral and Maxillofacial Surgery, Mito Kyodo General Hospital, Ibaraki 310-0015, Japan

Received 2 April 2013; Accepted 21 May 2013

Academic Editors: J. H. Campbell and M. T. Martins

Copyright © 2013 Kahori Seto et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Radiation-induced carotid artery stenosis (RI-CS), a life-threatening condition, can occur after external radiation for head and neck cancer. We here describe a case of asymptomatic RI-CS in a 73-year-old patient treated with chemoradiotherapy and radical neck dissection for a basaloid squamous cell carcinoma of the oral floor. Stenosis of the left carotid artery, diagnosed as RI-CS, showed on an MRI performed 1.5 years after radiotherapy. Blood from the left side of the anterior cerebral artery and the middle anterior artery was flowing to the brain through the anterior and posterior communicating arteries, so no stent surgery or other treatment was necessary. The cancer has not recurred during approximately 5 years of followup after radiotherapy, and the patient has had no adverse effects from the RI-CS since it was diagnosed 3.5 years ago. This case emphasizes the necessity of early scrutiny for RI-CS in patients given radiotherapy for oral cancer.