Intra-arterial chemoradiotherapy for locally advanced buccal mucosal cancer in an elderly patient with multiple comorbidities: A case report

Cancer Rep (Hoboken). 2022 Sep;5(9):e1629. doi: 10.1002/cnr2.1629. Epub 2022 May 25.

Abstract

Background: The management of locally advanced oral cavity squamous cell carcinoma (LA-OCScc) in elderly patients with multiple comorbidities is difficult.

Case: We report the case of an elderly patient with buccal mucosal squamous cell carcinoma as well as chronic renal dysfunction, hepatic cirrhosis, rheumatoid arthritis, and metachronous diffuse large B-cell lymphoma. We performed radiation therapy (a total dose of 70 Gy in 35 fractions) and six cycles of intra-arterial chemotherapy with 40 mg/m2 cisplatin per week. After treatment, the tumor completely disappeared, and there was no recurrence or deterioration of comorbidities during the 12-month follow-up period.

Conclusion: Intra-arterial chemoradiotherapy may be a good treatment option for LA-OCScc in elderly patients with multiple comorbidities.

Keywords: buccal mucosal cancer; cisplatin; comorbidities; intra-arterial chemoradiotherapy; squamous cell carcinoma.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Carcinoma, Squamous Cell* / therapy
  • Chemoradiotherapy
  • Cisplatin
  • Follow-Up Studies
  • Humans
  • Mouth Neoplasms* / therapy

Substances

  • Cisplatin