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Successful tongue cancer surgery under general anesthesia in a 99-year-old patient in Okinawa, Japan: A case report and review of the literature

View Article: PubMed Central - PubMed

ABSTRACT

As advances in the medical field have resulted in increased life expectancy, performing surgery under general anesthesia in elderly patients has become an important issue. A 99-year-old Okinawan female was admitted to the hospital presenting with pain in the tongue. Following physical examination, a clinical diagnosis of early stage tongue cancer (T2N0Mx) was confirmed. Early stage tongue cancer is particularly easy to access for surgical resection. By contrast, later stages of tongue cancer are associated with pain, dysphagia and throat obstruction. The patient and their family agreed to surgery due to the worsening pain associated with the tumor and gave informed consent for surgery. Following consultation with a cardiologist and an anesthesiologist, the tongue tumor was surgically resected under general anesthesia. Subsequent to surgery, the patient experienced pain relief and was discharged from the hospital on day 14 post-surgery. The patient was able to maintain the same quality of life, and lived for 5 years and 2 months longer without evidence of disease, surviving to the age of 104 years old. The present case demonstrates that surgery under general anesthesia may be appropriate in patients of an advanced age, with a treatment plan that should ideally be based on careful assessment of the wishes of the patient and their family, medical risks, and benefits and economic costs of alternative treatments, in addition to consideration of the patient's culture.

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Clinical photograph of right tongue tumor lesion during initial oral examination.
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f1-ol-0-0-4864: Clinical photograph of right tongue tumor lesion during initial oral examination.

Mentions: A 99-year-old female, who was independent in her daily activities, presented to our hospital with a 2-month history of pain at the right edge of the tongue. The patient had no history of trauma to the tongue. Oral examination identified an indurated, ulcerated mass, measuring 3×1.5 cm in diameter and was located in the right tongue margin (Fig. 1). There was no restriction of tongue movement and no palpable cervical lymph nodes. A clinical diagnosis of early stage tongue cancer (T2N0Mx) was made according to the Union for International Cancer Control TNM classification system (6). A computed tomography (CT) scan was performed following administration of intravenous contrast material and identified an enhancing tumor measuring 1.3×0.7 cm in the right margin of the tongue.


Successful tongue cancer surgery under general anesthesia in a 99-year-old patient in Okinawa, Japan: A case report and review of the literature
Clinical photograph of right tongue tumor lesion during initial oral examination.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4998137&req=5

f1-ol-0-0-4864: Clinical photograph of right tongue tumor lesion during initial oral examination.
Mentions: A 99-year-old female, who was independent in her daily activities, presented to our hospital with a 2-month history of pain at the right edge of the tongue. The patient had no history of trauma to the tongue. Oral examination identified an indurated, ulcerated mass, measuring 3×1.5 cm in diameter and was located in the right tongue margin (Fig. 1). There was no restriction of tongue movement and no palpable cervical lymph nodes. A clinical diagnosis of early stage tongue cancer (T2N0Mx) was made according to the Union for International Cancer Control TNM classification system (6). A computed tomography (CT) scan was performed following administration of intravenous contrast material and identified an enhancing tumor measuring 1.3×0.7 cm in the right margin of the tongue.

View Article: PubMed Central - PubMed

ABSTRACT

As advances in the medical field have resulted in increased life expectancy, performing surgery under general anesthesia in elderly patients has become an important issue. A 99-year-old Okinawan female was admitted to the hospital presenting with pain in the tongue. Following physical examination, a clinical diagnosis of early stage tongue cancer (T2N0Mx) was confirmed. Early stage tongue cancer is particularly easy to access for surgical resection. By contrast, later stages of tongue cancer are associated with pain, dysphagia and throat obstruction. The patient and their family agreed to surgery due to the worsening pain associated with the tumor and gave informed consent for surgery. Following consultation with a cardiologist and an anesthesiologist, the tongue tumor was surgically resected under general anesthesia. Subsequent to surgery, the patient experienced pain relief and was discharged from the hospital on day 14 post-surgery. The patient was able to maintain the same quality of life, and lived for 5 years and 2 months longer without evidence of disease, surviving to the age of 104 years old. The present case demonstrates that surgery under general anesthesia may be appropriate in patients of an advanced age, with a treatment plan that should ideally be based on careful assessment of the wishes of the patient and their family, medical risks, and benefits and economic costs of alternative treatments, in addition to consideration of the patient's culture.

No MeSH data available.


Related in: MedlinePlus