Case presentation A pregnant woman was referred to the Oral and Maxillofacial Surgery (OMS) department with a proven biopsy for squamous cell carcinoma and perineural invasion of the right tongue to the erythroleukoplakia region. Patient profile Age: 29 years, female Gravida III para II Height: 154 cm Weight: 65 kg Patient history The patient had a history of occasional alcohol consumption with no smoking history. Figure 1. Preoperative clinical picture. (Source: Murphy et al., 2016) Examination The dental pantomogram was unremarkable. MRI scans revealed an endophytic mass approaching the midline from the right tongue.
An ipsilateral level 2A lymph node was found with the involvement of ipsilateral genioglossus muscle, indicating metastasis. Pharmacological examination categorized patients as T4aN1Mx. Figure 2. Axial T2 MRI demonstrating endophytic mass right tongue. (Source: Murphy et…