A case of advanced carcinoma of the gingiva in a patient with Fanconi anemia

DOI
  • Kataoka Yukiko
    Department of Otolaryngology, Kyoto Medical Center
  • Honda Keigo
    Department of Head and Neck Surgery, Kyoto Medical Center
  • Asato Ryo
    Department of Head and Neck Surgery, Kyoto Medical Center

Bibliographic Information

Other Title
  • Fanconi 貧血患者に生じた進行歯肉癌例

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Description

We report herein on a case of advanced carcinoma of the gingiva in a patient with Fanconi anemia (FA). The patient was a 31 y.o. female, who had been diagnosed as having FA at the age of 13. The tumor was located in the upper gingiva, involving surrounding structures including the upper lip. Wide local resection followed by free flap reconstruction was performed. The postoperative course was complicated by wound infection, bilateral thoracic empyema and subsequent septic shock. Long term intensive care was needed to improve the patient's general condition. At the time of 6 months after the operation, she is free of disease. We chose treatment with wide local resection followed by reconstruction, because of frequent recurrence after treatment and difficulty of radiation therapy and chemotherapy, and we succeeded in making the patient free of disease. However, we considered that we should have careful perioperative management, because we experienced life-threatening postoperative complications.

Journal

  • Stomato-pharyngology

    Stomato-pharyngology 27 (2), 173-177, 2014

    Japan Society of Stomato-pharyngology

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