| Autor: |
Liddell, Peter H., Palmer, Trace T., Kane, Anne C. |
| Předmět: |
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| Zdroj: |
Journal of the Mississippi State Medical Association; Jan/Feb2024, Vol. 65 Issue 1/2, p1-5, 5p |
| Abstrakt: |
Squamous cell carcinoma of the tongue is an aggressive malignancy which frequently metastasizes to cervical lymph nodes. Up front surgical resection is the mainstay of treatment for oral cavity squamous cell carcinomas. Glossectomies are typically performed under general anesthesia with endotracheal intubation for airway protection, to mitigate pain, and ensure patient tolerability for optimal oncologic outcomes. This is among a few reported cases using local anesthesia for partial glossectomy and sentinel lymph node biopsy to avoid the risks of general anesthesia in a patient with compromised respiratory status. Clinical data was obtained through electronic medical records and a literature search performed. A 63-year-old female presented with cT2N0M0 Squamous Cell Carcinoma of the right lateral tongue. Her relevant past medical history included idiopathic pulmonary fibrosis and pulmonary arterial hypertension with chronic hypoxic respiratory failure. Pulmonology was consulted pre-operatively given the patient's significant pulmonary co-morbidities and determined the patient would have a high risk of perioperative mortality given likelihood of developing post-operative respiratory failure. After discussing risks of general anesthesia with the patient, she opted to undergo the procedure utilizing local anesthesia. The procedure was technically successful, and the patient survived for 18 months following treatment without evidence of disease before succumbing to another disease process. This case report demonstrates the feasibility of utilizing local anesthesia for select early oral cavity cancer patients who are high risk for general anesthesia. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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