NUMERO: #20240681

Título: BONE METASTASIS OF TONGUE SQUAMOUS CELL CARCINOMA: CASE REPORT

Nome do Apresentador: Lísia Daltro Borges ALVES

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Oncologia

Resumo: A man, 24 years old, was diagnosed with tongue squamous cell carcinoma, T3N2aM0 (S IVA). The anatomopathological analysis of the surgical specimen showed a moderately differentiated tumor, with disease extension to the floor of the mouth and 20.0mm infiltration depth, lymphovascular and perineural invasion; surgical margins were compromised, changing the staging to pT3N2b. Therefore, adjuvant chemotherapy was prescribed (high-dose cisplatin in 3 cycles, 21 days apart) associated with radiotherapy (54Gy in 30 fractions, until 04/28/2022). After 4 months, he presented complaints of pain in the left buttock region, irradiating to the ipsilateral lower limb. PET-CT showed a lytic lesion with a soft tissue component extending through the sacrum, iliac, and acetabulum on the left (SUVmax 6.5), confirming the bone metastasis bone. Zoledronic acid was prescribed in association with left sacrum/iliac and acetabulum anti-pain radiotherapy (30Gy in 10 applications, until 12/23/2022). Seven months after the bone progression diagnosis, the patient died.

Autor 1:  Lísia Daltro Borges ALVES

E-mail 1:  [email protected]

Autor 2:   Ana Carolina dos Santos MENEZES

E-mail 2:  [email protected]

Autor 3 :  Juliana Chaves Carneiro CARVALHO

E-mail 3:  [email protected]

Autor 4:  Fernando Luiz DIAS

E-mail 4:  [email protected]

Autor 5:  Héliton Spíndola ANTUNES

E-mail 5:  [email protected]