Squamous Cell Cancer

Timely detection saves livelihood of a teacher

THE CASE

A 58 year old lady was diagnosed with an ulcer over the left lateral border of the tongue that hadn’t healed even after being treated by her family physician for 3 months . On examination, a 3 x 2 cm ulcer was seen against her sharp left lower canine. A biopsy from the ulcer confi rmed the diagnosis of Squamous Cell Cancer. Additional investigations with MRI of the head and neck were conducted to confi rm the extent of the disease. The patient was informed of the need for Hemiglossectomy (removal of left half of the tongue) and dissection of the lymph nodes in the neck.

THE PROCEDURE

The patient underwent left Hemiglossectomy with left modifi ed radical neck (spinal accessory nerve and internal jugular vein preserving) dissection. The defect was reconstructed by microvascular free tissue transfer from the left forearm (free radial artery forearm fl ap).

THE RESULT

The patient was discharged on the fi fth day post operation and was advised a normal liquid and soft diet. At the follow-up two weeks later, the patient was extremely satisfi ed with the cosmetic and functional outcome (speech and swallowing) after the removal of half of her tongue. She has now resumed her profession as a school teacher. The advent of modern reconstruction work like the one illustrated above have made a quantum leap towards cosmetic and functional rehabilitation in patients with Oral Cancer and these patients can now confi dently resume their daily routine after major cancer operations of the head, face and neck region.

BLK

Dr. Sudeep Sarkar

Dr. Sudeep Sarkar
Sr. Consultant
Oncosurgery
Nanavati Super Speciality
Hospital, Mumbai









BLK
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