| Management of head and neck tumours during pregnancy: case report and literature review. | |
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MedLine Citation:
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PMID: 19010763 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Ethical dilemmas arise in managing head and neck cancers during pregnancy. The timing of treatment is an important determinant on foetal wellbeing. Diagnostic and treatment modalities may harm the foetus, while delaying or choosing suboptimal treatment in order to preserve foetal health may worsen maternal outcome. A multidisciplinary approach should be adopted to enable parents and clinicians to make the best clinical decision. We report on two cases. Case 1 is a 34-year-old female who presented with squamous cell carcinoma of the tongue at 29 weeks' gestation. Partial glossectomy, selective neck dissection and posterior tibial flap reconstruction was performed at 31 weeks. She underwent induction and early delivery at 38 weeks prior to receiving radiotherapy. Case 2 is a 36-year-old female who presented with carcinoma of the cervical oesophagus complicated by tracheal invasion, thyroid and cervical lymph node metastasis at 13 weeks' gestation. Pregnancy was terminated at 16 weeks. She received a course of neoadjuvant chemoirradiation. |
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Authors:
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Velda Ling Yu Chow; Jimmy Yu Wai Chan; Raymond Wai Man Ng; William Ignace Wei |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Asian journal of surgery / Asian Surgical Association Volume: 31 ISSN: 1015-9584 ISO Abbreviation: Asian J Surg Publication Date: 2008 Oct |
Date Detail:
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Created Date: 2008-11-17 Completed Date: 2009-02-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8900600 Medline TA: Asian J Surg Country: China |
Other Details:
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Languages: eng Pagination: 199-203 Citation Subset: IM |
Affiliation:
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Division of Head and Neck Surgery, Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong SAR. vlychow@gmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abortion, Induced Adult Carcinoma / therapy Carcinoma, Squamous Cell / therapy Esophageal Neoplasms / therapy Female Head and Neck Neoplasms / therapy* Humans Labor, Induced Pregnancy Pregnancy Complications, Neoplastic / therapy* Tongue Neoplasms / therapy |
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