Squamous Cell Carcinoma of the Tongue During Pregnancy: A Case Report and Review of the Literature

Murphy, James; Berman, Deborah R.; Edwards, Sean P.; Prisciandaro, Joann I.; Eisbruch, Avraham; Ward, Brent B.

doi:10.1016/j.joms.2016.06.173

Cited by 18 publications

(22 citation statements)

References 43 publications

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“…Although several authors have shown an increase of oral tongue cancer incidence in younger female patients worldwide, and even specifically in white females, including the report of several cases of pregnant women, our study has shown that the incidence of malignant neoplasm of other locations and unspecified parts of tongue in patients under 50 years of age decreased in men (−0.2% per year) and showed a slight increase (0.1% per year) in women.…”

Section: Discussioncontrasting

confidence: 78%

Tongue cancer epidemiology in Brazil: incidence, morbidity and mortality

et al. 2018

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Section: Discussioncontrasting

confidence: 78%

Tongue cancer epidemiology in Brazil: incidence, morbidity and mortality

et al. 2018

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“…Other finding in this study requiring particular attention is a number of salivary gland tumors and lymphoma. While salivary gland tumors and lymphoma are expressed as cancers with high prevalence in head and neck in dental references, which may be the result of a lack of specialized centers for oral lesions and referral of patients to other health centers in surrounding towns and lack of timely referrals of patients with oral lesions (12).In terms of the incidence of oral lesions, squamous cell carcinoma (6.7% of oral cancers was noted, which is consistent with the findings of Andishehtadbir, Qpanchy, Lei, and Castell (13,17,18,19).Squamous cell carcinoma occurs more frequently in men than in women, which is inconsistent with the results of Shiva's study where the prevalence of squamous cell carcinoma was reported as higher in women (12)and is similar to studies by Picard, Dantas and Murphy that reported the incidence of squamous cell carcinoma to be higher in men than in women (20,21,22).In the present study, the tongue (54%) was the most common site, similar to results reported by Lei, Dantas and Delavaran (11,18,21)and contradicts Fahmi and Alrawi, who found lips the most common site of injury (23,24).The most common benign lesions in the head and neck in men are pilar cysts, with13%…”

Section: Discussionsupporting

confidence: 68%

The frequency of tumors of the head and neck in a 10-year period in Ilam, Iran

Abdal

Mostafazadeh

Darvishi

2018

JBRMS

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Introduction: Cancer is one of the five leading causes of death around the world, and head and neck cancer is one of the most common incidences, leading to the death of thousands of people each year. Given the epidemiological importance of head and neck cancers, this study aimed to examine the prevalence of head and neck cancers over a 10-year period in Ilam. Materials and methods: This descriptive study was done using the files of 1106 patients with head and neck lesions who were referred to Imam Khomeini hospital in Ilam in a 10year period between 2004 and 2015. All the data in the files, including age, sex, type and location of the lesion, was recorded, evaluated, and analyzed using independent t-tests and chi-square statistical methods with SPSS 19. Results: The annual incidence of head and neck cancers in Ilam was estimated at 1.5 per 100,000 people. Basal cell carcinoma was the most common cancer of the head and neck (18.50%). The most common site of squamous cell carcinoma occurrence was the tongue at 54%. Regarding sex, 55.5% of patients were male and 44.5% were female. Regarding malignancy, 289 lesions (26.13%) were reported as malignant and 817 lesions (73.86%) were reported as benign. Conclusion: Considering the high incidence of basal cell carcinoma and squamous cell carcinoma the importance of early diagnosis of these cancers and their treatment requires appropriate planning to improve survival of these patients and to reduce the disease's complications.

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“…Though, tongue cancer in this category is relatively rare. According to Murphy et al [ 2 ], at the point of 2016, 33 cases of squamous cell carcinoma of the tongue during pregnancy has been reported in English literatures. Although, from the fact that there was only one case in the series reportedly chose termination of pregnancy, they mentioned that publication bias must be considered.…”

Section: Discussionmentioning

confidence: 99%

“…The patient, with T2, N0 and M0 (stage 2) disease, was a candidate for primary or post-operative radiotherapy. There are some radiotherapy reports for pregnant women with tongue cancer [ 2 , 10 ]. Discussion with the patient concluded to avoid radiotherapy.…”

Section: Discussionmentioning

confidence: 99%

Free flap transfer reconstruction in managing tongue carcinoma during pregnancy

Miyazaki

Fukuda

Fujita

et al. 2017

Journal of Surgical Case Reports

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Malignant oral cancers do not commonly occur in pregnant women. But when they do, the presence of a foetus and maternal physiological changes complicate and limit the treatment options. Risk benefit assessment and balancing of them are always important. A 33-year-old woman, who was 25 weeks pregnant, presented with a squamous cell carcinoma on her tongue. She was clinically staged II (T2, N0 and M0). Discussions between the patient, surgical teams and obstetricians agreed to continue her pregnancy while managing the tumour. Hemi-glossectomy and ipsilateral neck dissection was performed. Free antero-lateral thigh flap was transferred to reconstruct the tongue defect, successfully. The patient gave birth to a healthy baby afterward. She is tumour free for 6 years. Free flap reconstruction can be an option, even if the patient is pregnant.

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Squamous Cell Carcinoma of the Tongue During Pregnancy: A Case Report and Review of the Literature

Cited by 18 publications

References 43 publications

Tongue cancer epidemiology in Brazil: incidence, morbidity and mortality

Tongue cancer epidemiology in Brazil: incidence, morbidity and mortality

The frequency of tumors of the head and neck in a 10-year period in Ilam, Iran

Free flap transfer reconstruction in managing tongue carcinoma during pregnancy

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