Carcinoma escamoso de Lengua: Importancia de los márgenes quirúrgicos limpios en el pronóstico de pacientes oncológicos y métodos de detección de márgenes comprometidos
DOI:
https://doi.org/10.18004/anales/2024.057.03.96Palabras clave:
Neoplasias de la Lengua, Carcinoma de Células Escamosas, Glosectomía, Recurrencia Local de NeoplasiaResumen
Introducción: El carcinoma escamoso de lengua, un desafío clínico creciente, requiere estrategias terapéuticas eficaces para mejorar el pronóstico y prevenir recidivas. La combinación de enfoques médicos y quirúrgicos, especialmente la hemiglosectomía, es fundamental. Objetivo: Exponer la importancia de márgenes quirúrgicos limpios y métodos de detección para abordar este complejo escenario oncológico. Caso: Paciente femenino de 63 años presenta un carcinoma escamoso de lengua, grado III, con ulceración moderada. La hemiglosectomía y el vaciamiento cervical homolateral se realizan con éxito. Sin embargo, se observa el hallazgo del carcinoma in situ en los márgenes dos meses después, evidenciando la necesidad de intervenciones adicionales, como la ampliación de márgenes, para asegurar la erradicación completa del tumor. Discusión: El caso destaca la complejidad de gestionar carcinomas escamosos de lengua y la importancia de estrategias quirúrgicas precisas. El hallazgo subraya la variabilidad en las respuestas terapéuticas y la relevancia de un seguimiento continuo. Se resalta la necesidad de métodos mejorados para evaluar márgenes quirúrgicos y estrategias multidisciplinarias para mejorar la gestión clínica y los resultados en pacientes con esta patología. Conclusión: Se resalta la necesidad de enfoques multidisciplinarios y mejoras en la evaluación intraoperatoria para optimizar la gestión clínica y prevenir recidivas en pacientes con esta patología.
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