A Case of Tongue Carcinoma Resection and Reconstruction with Microsurgical Free Flap during Pregnancy

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  • 妊娠中に遊離皮弁再建手術を施行した舌癌症例
  • ニンシン チュウ ニ ユウリ ヒベン サイケン シュジュツ オ シコウ シタ ゼツガン ショウレイ

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Abstract

Malignant tumors during pregnancy are rarely seen by otolaryngologists, and they cause various problems which require special treatment with careful consideration of both the mother and fetus. Cases of tongue carcinoma resection and reconstruction with a microsurgical free flap during pregnancy have not previously been reported in Japan. We report herein on a case, in which the mother and her child made satisfactory progress after surgery.<br>　A-33-year-old female at 25 weeks and 4 days of pregnancy was referred to our department for the treatment of a tumor on the right edge of her tongue. Examinations including biopsy revealed SCC (T2N0M0).<br>　We performed an operation to remove the tongue carcinoma with the pull-through method and reconstruct the tongue with an ALT flap at just 28 weeks of pregnancy. The postoperative recovery was favorable, and she gave natural birth to a girl safely at 38 weeks and 6 days of pregnancy. She is currently free of disease and her child is growing normally, at 2 years and 10 months after surgery.

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