Câncer de língua em mulher jovem: relato de caso clínico e revisão de literatura.

Abstract

Malignant neoplasms in the oral cavity represent an important public health problem, with oral squamous cell carcinoma (OSCC) being the most prevalent type, mainly due to smoking and alcohol consumption. CEO in the tongue region is the most common type of oral cancer, when its site of greatest predisposition is revealed on the edge of the tongue. The present study aims to report the case of a young patient who presented with an ulcerated lesion with erythroleukoplastic areas on the lateral border of the tongue, and after two biopsies the diagnosis of CEO was established. Female patient, mixed race, 40 years old, housewife, was referred complaining of pain associated with a sore on her tongue, which had been ongoing for three months. He stated that, when the pain appeared, he attended the UFCG, as it had already treated another lesion on the tongue in 2019. The diagnostic hypotheses formulated were traumatic ulcer or major recurrent aphthous ulceration, two incisional biopsies were performed, one conventional and another with surgical LASER, the second biopsy revealed in the histopathological evaluation that it was a DSC, being a neoplasm staged as T2N1M0 (stage II), based on the UICC/AJC (American Joint Committee for Cancer Staging). One patient received as treatment a partial glossectomy and necrotic areas combined with 5 radiotherapy sessions and 5 concurrent chemotherapy sessions, for a period of four months. Currently, the patient is free of the disease, following 4 months of follow-up and multidisciplinary care by dental surgeons, speech therapists, nutritionists and psychologists, and is free of the disease after one year of treatment.