A case of tongue cancer arising in an 18-year-old patient considering informed consent.

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Tongue cancer in persons under age 20 has been rare, and its treatment remains unclear. It is important to discuss not only its treatment but also its complications. In addition, a cooperation of the family is necessary concerning the truth and informed consent, because the patients young adults. A rare case of tongue cancer arising in an 18-year-old patient is reported. An 18-year old male, who had contact pain on the right tongue rim, was referred to our department on March 14, 1998. A 15×10 mm painful mass with an ulcer was found on the right side of the tongue rim. A tongue biopsy revealed moderately differentiated squamous cell carcinoma (T1N0M0) . A combination of surgery and chemotherapy (CDDP, PEP) was carried out, to reduce the postoperative dysfunction of the tongue. The patient had good local control without serious dysfunction of the tongue. One year later, total neck dissection on the right side was performed, for metastasis to a cervical lymphnode. There has been, at the present time, no evidence of recurrence or metastasis in the patient, at about 13 months after the total dissection operation. However, his parents told him the truth which has been cancer without our consent because he had serious mental problems. Therefore, it is important to treat mental problems that may involve the young adult patient and his family.
一般社団法人日本口腔腫瘍学会の論文