Abstract
Summary: We herein report our experience in treatment for carcinoma of the tongue in an advanced age pregnant woman expecting her first child birth (delivery).
The patient is a 38-year-old female who was referred to our hospital with an ulcer locate on the right lateral margin of her tongue on October 5, 1998.
Since there were many matters that had to be considered in establishing a protocol for surgery and since this was her first child birth at an advanced age, we cooperated with her obstetrician with the initiative based on giving birth safely. Thus, informations were constantly exchanged between her obstetrician and the dental team.
The patient's course of pregnancy was stable (24th week of gestation) which was determined by her obstetrician, we decided to commence treatment.
The results of scrutinization, since the stage of her illness was in the initial stage (T1N0M0), she was admitted to our hospital on October 19, 1998, and underwent partial resent of the tongue under local anesthesia. Through the advice of her obstetrician, postoperative medication was administered only when required. β2-stimulant (UTEMERIN) was administered through the directions of her obstetrician for prevention of threatened abortion. Postoperative progress observation was favorable and she gave birth to the boy safely in March, 1990.
After the delivery, we consulted with her husband and obstetrician and notified her on the true nature of her disease. Since it was after delivery and she was mentally stable, she was not greatly disturbed.
There is no sign of recurrence or transition and her progress is good after 5 years and 7 months from surgery.
