Salvage surgery for mesenteric lymph node metastasis by resection of the first jejunal flap and reconstruction with the second jejunal flap

1. Ikeguchi M, Miyake T, Matsunaga T, et al. Free jejunal graft

reconstruction after resection of neck cancers: our surgical

technique. Surg Today 2009;39:925–8.

2. Nakatsuka T, Harii K, Asato H, et al. Comparative evaluation

in pharyngo-oesophageal reconstruction radial forearm flap

compared with jejunal flap. A 10-year experience. Scand J Plast

Reconstr Hand Surg 1998;32:307–10.

3. Razdan SN, Albornoz CR, Matros E, et al. Free jejunal flap for

pharyngoesophageal reconstruction in head and neck cancer

patients: an evaluation of donor site complications. J Reconstr

Microsurg 2015;31:643–6.

4. Kubo T, Seike S, Kiya K, et al. Salvage treatment of failed free

jejunal flap transfer: our experiences and literature review. Plast

Reconstr Surg Glob Open 2018;6:e1889.

5. Schaverien MV, Dayan JH. Multimodal management of upper

and lower extremity lymphedema. New York: Springer International Publishing, 2022: 223. https://doi.org/10.1007/978-3-03093039-4.

6. Suzuki S, Mochiki M, Nakao K, et al. A case of hypopharyngeal

carcinoma metastasizing to transplanted jejunal and mesenteric lymph nodes. OtolaryngolHNS 2004;76:162–3.

7. Ogawa T, Matsuura K, Kato K, et al. Survival of a free jejunal graft

after resection of its nutrient vessels. Auris Nasus Larynx 2010;37:

125–8.

8. Yasuhara K, Uranaka T, Ichijo K, et al. Recurrent metastasis in

the mesenteric lymph node of a free jejunal graft. OtolaryngolHNS 2017;89:1045–8.

9. Blum KS, Proulx ST, Luciani P, et al. Dynamics of lymphatic

regeneration and flow patterns after lymph node dissection.

Breast Cancer Res Treat 2013;139:81–6.

10. Majnarich G. Mesenteric, mesocolic and omental tumors with

particular reference to cystic forms; report of six cases. J Int Coll

Surg 1955;24:403–28.

11. Kunihara T, Suzuki M, Matsuyama M, Kato K. A case of primary

mesenteric squamous cell carcinoma. J Jpn Soc Clin Surg 1995;56:

173–6.

Downloaded from https://academic.oup.com/jscr/article/2023/12/rjad686/7503293 by Kobe University Library user on 25 January 2024

Figure 4. Pathological findings. (a) The specimen of hypopharyngeal cancer showed that dysmorphic cells with well-defined nucleoli were

proliferating without polarity, diagnosed as moderately differentiated SCC. (b) The specimen of oropharyngeal cancer was compatible with

well-differentiated SCC, which formed cancer pearls and papillary structures. (c) The mesenteric tumor of the first jejunum confirmed poorly

differentiated SCC, which consisted of dysplastic cells with rounded nuclei and distinct nucleoli.

Kitano et al.

12. Avinçsal MO, Shinomiya H, Teshima M, et al. Impact of alcohol dehydrogenase-aldehyde dehydrogenase polymorphism on

clinical outcome in patients with hypopharyngeal cancer. Head

Neck 2018;40:770–7.

13. Makimoto Y, Yamamoo S, Takano H, et al. Lymphadenopathy

in the mesenteric pedicle of the free jejunal flap: reactive

lymphadenopathy, not metastatic. Comput Assist Tomogr

2006;30:65–7.

14. Suzuki S, Mochiki M, Nakao K, et al. Study of transplanted

mesenteric lymphadenopathy after reconstruction with

free jejunum. Nippon Jibiinkoka Gakkai Kaiho 2006;109:

19–23.

Downloaded from https://academic.oup.com/jscr/article/2023/12/rjad686/7503293 by Kobe University Library user on 25 January 2024

...