Risk factors and management for lethal bleeding in head and neck cancer patients

[...]it is essential to promptly diagnose and treat the bleeding site, whether it is from the primary cancer site, vessels, as this can significantly impact patient outcomes [2]. [...]the occurrence of acute bleeding from the carotid artery, known as carotid blowout syndrome (CBS), remains a rare bu...

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Bibliographic Details
Published in:The American journal of emergency medicine 2023-04, Vol.66, p.159-160
Main Authors: Lee, Kuan-Yu, Shueng, Pei-Wei, Hsu, Chen-Xiong
Format: Article
Language:English
Subjects:
Bleeding
Cardiovascular system
Carotid artery
Embolization
Emergency medical care
Head & neck cancer
Head and Neck Neoplasms - complications
Head and Neck Neoplasms - therapy
Hemorrhage
Hemorrhage - etiology
Hemorrhage - therapy
Hemostasis
Humans
Irradiation
Medical prognosis
Metastases
Metastasis
Mortality
Palliative care
Radiation
Retrospective Studies
Risk Factors
Survival
Systematic review
Writing
Citations: Items that this one cites
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Summary:[...]it is essential to promptly diagnose and treat the bleeding site, whether it is from the primary cancer site, vessels, as this can significantly impact patient outcomes [2]. [...]the occurrence of acute bleeding from the carotid artery, known as carotid blowout syndrome (CBS), remains a rare but devastating side effect of salvage re-irradiation in patients with HNC [3]. While life-saving interventions such as supportive care and endovascular and surgical procedures can achieve rapid hemostasis and offer high short-term survival rates, patients at risk of developing CBS should be informed about the various treatment options available for hemorrhage control and the anticipated long-term outcomes, which may be influenced by the underlying recurrent and metastatic disease.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2023.01.013