A case of tongue carcinoma in a patient with -D- Rh blood type

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  • YOSHIZAWA Yasumasa
    Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Tsurumi University
  • KUNITOU Jyun
    Department of Oral and Maxillofacial Surgery, Kochi Medical School, Kochi University
  • SENTOU Shinya
    Department of Oral and Maxillofacial Surgery, Kochi Medical School, Kochi University
  • TOMITA Riki
    Department of Oral and Maxillofacial Surgery, Kochi Medical School, Kochi University
  • KITAMURA Naoya
    Department of Oral and Maxillofacial Surgery, Kochi Medical School, Kochi University
  • YAMAMOTO Tetsuya
    Department of Oral and Maxillofacial Surgery, Kochi Medical School, Kochi University

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Other Title
  • バーディーバーRh 血液型患者に生じた舌癌の1例
  • バーディーバー Rh ケツエキガタ カンジャ ニ ショウジタ ゼツガン ノ 1レイ

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<p>The -D- blood type is rare. As blood transfusion and pregnancy frequently cause irregular antibodies in patients with the -D- blood type, blood transfusions require the use of the same -D- type blood. Here, we report a case of tongue carcinoma in a patient with the -D- Rh blood type, in whom we performed surgery using preoperatively collected autologous blood. The patient was a 79-year-old woman who was referred to our department with the chief complaint of pain at the left margin of the tongue. On the basis of biopsy and imaging examinations, she was given a diagnosis of squamous cell carcinoma (T2N0M0) , but interviews and blood examinations revealed that the patient had blood type -D-. Therefore, after preservation of 760 mL of autologous blood and 2 units of thawed erythrocyte fluid of the same blood type, left supraomohyoid neck dissection, partial glossectomy, and reconstruction using a pectoralis major musculocutaneous flap were carried out. During surgery, the reconstruction method was changed to a forearm skin flap because of poor circulation of the musculocutaneous flap. The operation time was 20 hours, with blood loss volume of 360 mL. A total of 360 mL and 400 mL of autologous blood were transfused intraoperatively and postoperatively, respectively, but the thawed red blood cell fluid was not used. After the operation, anemia gradually improved, and there were no hemolytic transfusion side effects.</p>

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