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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.

No MeSH data available.


Excised tongue specimen.
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f3-ol-0-0-4864: Excised tongue specimen.

Mentions: Surgical resection of the tongue tumor was performed, and 10 mm tumor-free margins were obtained (Fig. 3). Following resection, TERUDERMIS® (Terumo Corporation, Tokyo, Japan), a collagen-based artificial dermis, was grafted onto the cleansed wound surface. The surgical procedure lasted 60 min in the absence of hypotension, bradycardia or decreased oxygen saturation (2). Histopathology of the tongue mass specimen revealed moderate proliferation of SCC cells. Inflammation was noted beneath the epithelium (Fig. 4), but peripheral infiltration of the tumor cells was not observed. Thus, the lesion was diagnosed as SCC.


Successful tongue cancer surgery under general anesthesia in a 99-year-old patient in Okinawa, Japan: A case report and review of the literature
Excised tongue specimen.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

f3-ol-0-0-4864: Excised tongue specimen.
Mentions: Surgical resection of the tongue tumor was performed, and 10 mm tumor-free margins were obtained (Fig. 3). Following resection, TERUDERMIS® (Terumo Corporation, Tokyo, Japan), a collagen-based artificial dermis, was grafted onto the cleansed wound surface. The surgical procedure lasted 60 min in the absence of hypotension, bradycardia or decreased oxygen saturation (2). Histopathology of the tongue mass specimen revealed moderate proliferation of SCC cells. Inflammation was noted beneath the epithelium (Fig. 4), but peripheral infiltration of the tumor cells was not observed. Thus, the lesion was diagnosed as SCC.

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.