편도암 치료 후 기관절개 부위에서 재발한 1예

A Case of Tumor Recurrence at the Tracheotomy Site in Tonsil Cancer Patient

The aim of this report was to present a rare case of a tracheotomy site recurrence after operation and post-oper-ative radiotherapy in head and neck squamous cell carcinoma patient. Tracheotomy site recurrence other than subglottic cancer is very rare in head and neck cancer patient. The granulation tissue around tracheotomy was a fertile "soil" for tumor cell implantation. Midline mucosal sparing block which was used to decreased acute toxicity during post-operative radiotherapy could be facilitating the tumor cell implantation. The head and neck surgeon should try every effort to reduce contamination of cancer cells during operation and consider the entire operative field should be included in post-operative radiation portals.