AI Article Synopsis
- No established international guidelines exist for treating oral tongue cancer in pregnant women, leading to varied treatment approaches.
- A review of six cases showed that deviations from standard treatment resulted in disease progression and fatalities, suggesting traditional surgical options may be more effective for both mother and child.
- The decision-making process should involve thorough information and support for patients and families, ideally conducted in specialized maternity centers that integrate oncologic and obstetric care.
Article Abstract
No international guidelines are available for the treatment of oral tongue cancer during pregnancy. Six patients with tongue cancer during pregnancy were identified by a retrospective chart review. In three of the cases we did not follow the standard treatment, the women had disease progression, and two of them died after a short time. A multidisciplinary discussion and literature review suggest that following the standard surgical procedure could be the optimal treatment to ensure mother and baby health in tongue cancer. Nonetheless choosing between maternal advantage and potential fetal damage should not be an individual medical decision. Treatment "customization" is a possibility. Patients and their families should be provided with comprehensive information and appropriate support in order to fully participate in the decision-making process. The patient's care may be improved if carried out in a specialized maternity center where the surgical oncologic treatment is managed together with the obstetric aspects.
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| http://dx.doi.org/10.1016/j.critrevonc.2015.09.006 | DOI Listing |
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