Tongue cancer during pregnancy

Surgery and more, a multidisciplinary challenge

Research output: Contribution to journalArticle

6 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)1-11
Number of pages11
JournalCritical Reviews in Oncology/Hematology
Volume98
DOIs
Publication statusPublished - Feb 1 2016

Fingerprint

Tongue Neoplasms
Pregnancy
Mothers
Therapeutics
Mouth Neoplasms
Obstetrics
Disease Progression
Decision Making
Patient Care
Guidelines

Keywords

  • Cancer during pregnancy
  • Cancer treatments during pregnancy
  • Oral cavity cancer
  • Tongue cancer

ASJC Scopus subject areas

  • Oncology
  • Hematology
  • Geriatrics and Gerontology

Cite this

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title = "Tongue cancer during pregnancy: Surgery and more, a multidisciplinary challenge",
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.",
keywords = "Cancer during pregnancy, Cancer treatments during pregnancy, Oral cavity cancer, Tongue cancer",
author = "Marta Tagliabue and Elrefaey, {Shimaa Hassan} and Fedro Peccatori and Gianfranco Favia and Valeria Navach and Lorenzo Pignataro and Pasquale Capaccio and Marco Venturino and Stefano Tredici and Daniela Alterio and Fabio Mosca and Lorenza Pugni and Giovanna Scarfone and {Cossu Rocca}, Maria and Luca Calabrese",
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T2 - Surgery and more, a multidisciplinary challenge

AU - Tagliabue, Marta

AU - Elrefaey, Shimaa Hassan

AU - Peccatori, Fedro

AU - Favia, Gianfranco

AU - Navach, Valeria

AU - Pignataro, Lorenzo

AU - Capaccio, Pasquale

AU - Venturino, Marco

AU - Tredici, Stefano

AU - Alterio, Daniela

AU - Mosca, Fabio

AU - Pugni, Lorenza

AU - Scarfone, Giovanna

AU - Cossu Rocca, Maria

AU - Calabrese, Luca

PY - 2016/2/1

Y1 - 2016/2/1

N2 - 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.

AB - 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.

KW - Cancer during pregnancy

KW - Cancer treatments during pregnancy

KW - Oral cavity cancer

KW - Tongue cancer

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