International Journal of Head and Neck Surgery

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VOLUME 8 , ISSUE 4 ( October-December, 2017 ) > List of Articles


Squamous Cell Carcinoma of Mandible in a 10-year-old girl

Jeyashanth Riju, Shaji Thomas, Remya Rajan

Keywords : Free fibular flap, Malignancy in children, Oral cancer, Pediatrics, Squammous cell carcinoma

Citation Information : Riju J, Thomas S, Rajan R. Squamous Cell Carcinoma of Mandible in a 10-year-old girl. Int J Head Neck Surg 2017; 8 (4):150-152.

DOI: 10.5005/jp-journals-10001-1325

License: CC BY-NC 4.0

Published Online: 01-05-2019

Copyright Statement:  Copyright © 2017; The Author(s).


Aim: To study the importance of early recognition of oral cancer in children and its most suitable management. Background: Head and neck cancers are the sixth most common cancer worldwide with rare incidence in children. It is associated with a poor prognosis. Case description: A 10-year-old healthy girl with good oral hygiene presented with complaints of lesion in right mandible for 3 months duration. Incision biopsy of lesion showed squamous cell carcinoma. Computerized tomography showed cortical erosion of mandible, with no significant neck nodes. Case was discussed in multidisciplinary team and options were weighed. After discussing with patients' relatives, it was decided to proceed for surgery. Conclusion: Surgery was undertaken, patient underwent wide excision of lesion with segmental mandibulectomy, neck dissection and free fibular reconstruction of the defect. She is on regular follow-up for the past one year, with no evidence of lesion. Clinical Significance: Squamous cell carcinoma of mandible in children is very rare. Treating physician should be aware of such unusual presentation of highly mortal disease. Literature review on treatment being sparse and surgery followed optimal reconstruction is a major challenge.

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  1. Vigneswaran N, Williams MD. Epidemiological trends in head and neck cancer and aids in diagnosis. Oral Maxill Surg Clin. 2014 May;26(2):123.
  2. Prasad VB, Mallick S, Upadhyay AD, Rath GK. Systematic review and individual patient data analysis of pediatric head and neck squamous cell carcinoma: An analysis of 217 cases. Int J Paediatr Otolaryngol. 2017 Jan 31;92:75-81.
  3. Rajkumar K, Perumal CJ, Singh A, Hainsworth M. Squamous Cell Carcinoma of the upper lip in an 8 year old child-a case report. S Afr Dent J. 2015;70(8):360-363.
  4. Bodner L, Manor E, Friger MD, van der Waal I. Oral squamous cell carcinoma in patients twenty years of age or younger– review and analysis of 186 reported cases. Oral Oncol. 2014 Feb 28;50(2):84-89.
  5. Torossian JM, Beziat JL, Philip T, Bejui FT. Squamous cell carcinoma of the tongue in a 13-year-old boy. J Oral Maxil Surg. 2000 Dec 1;58(12):1407-1410.
  6. Usenius T, Kärjä J, Collan Y. Squamous cell carcinoma of the tongue in children. Cancer. 1987 Jul 15;60(2):236-239.
  7. Stolk-Liefferink SA, Dumans AG, Van der Meij EH, Knegt PP, Van der Wal KG. Oral squamous cell carcinoma in children; review of an unusual entity. Int J Paediatr Otolaryngol. 2008 Jan 31;72(1):127-131.
  8. Frank LW, Enfield CD, Miller AJ. Carcinoma of the tongue in a newborn child: report of a case. Am J Cancer. 1936 Apr 1;26(4):775-777.
  9. Guo L, Ferraro NF, Padwa BL, Kaban LB, Upton J. Vascularized fibular graft for pediatric mandibular reconstruction. Plast Reconstr surg. 2008 Jun 1;121(6):2095-2105.
  10. Benoit MM, Vargas SO, Bhattacharyya N, McGill TA, Robson CD, Ferraro N, Didas AE, Labow BI, Upton J, Taghinia A, Meara JG. The presentation and management of mandibular tumors in the pediatric population. The Laryngoscope. 2013 Aug 1;123(8):2035-2042.
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