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Case Reports
. 2012 May 14:4:20.
doi: 10.1186/1758-3284-4-20.

Tongue cancer in young patients: case report of a 26-year-old patient

Affiliations
Case Reports

Tongue cancer in young patients: case report of a 26-year-old patient

Aleksandra Credé et al. Head Neck Oncol. .

Expression of concern in

  • Comment: Head and Neck Oncology.
    BioMed Central. BioMed Central. BMC Med. 2014 Feb 5;12:24. doi: 10.1186/1741-7015-12-24. BMC Med. 2014. PMID: 24499430 Free PMC article. Review.

Abstract

Introduction: This article presents the case of a 26-year-old woman with tongue cancer. The median age at the diagnosis of the tongue's cancer is 61 years. Only approximately 2% of patients are diagnosed before the age of 35.

Case presentation: Our patient survived acute myeloid leukemia (AML) before her second year. She had been having recurrent, poorly healing aphtae on the right side of the tongue for a period of months before the symptoms of the tongue cancer appeared. As a treatment a partial glossectomy was conducted on the right side and a neck dissection of levels I-III. Than a reconstruction of the tongue with a radialis free vascularised flap from left side was performed.

Discussion: It should be always looked for the causal factor in young patients with a neoplasm. There is strong evidence for second malignant neoplasms in survivors of childhood cancer.

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Figures

Figure 1
Figure 1
Lateral view of 2 cm ulcer on middle third of the right side of the tongue.
Figure 2
Figure 2
Frontal view of 2 cm ulcer on middle third of the right side of the tongue.
Figure 3
Figure 3
Completed right sided neck dissection.
Figure 5
Figure 5
Direct post operative donor site.
Figure 4
Figure 4
Raised radial forearm free flap.
Figure 6
Figure 6
Donor site 3 weeks post operatively.
Figure 7
Figure 7
3 week post operative view showing good tongue mobility.
Figure 8
Figure 8
Lateral view 3 weeks post operatively.

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