Orthognathic surgery during breast cancer treatment—A case report

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Abstract

Introduction In recent years, patients with orthognathic surgery in middle-aged and elderly people have come to be a more frequent occurrence. Breast cancer is the most frequently diagnosed cancer in woman worldwide, and its prevalence rate is steadily increasing. Presentation of case We report a case of a 47-year-old Japanese woman in whom left-side breast cancer (Stage 1) was unexpectedly found just before orthognathic surgery in April 2012. Breast-conserving surgery was performed (estrogen receptor+, progesterone receptor+, HER2 −, surgical margin+, sentinel lymph node +) that May. From June to August docetaxel (75 mg/m2) and cyclophosphamide (600 mg/m2) were administrated four times every 21 days and thereafter radiotherapy (total 60 Gy) was completed. The cancer surgeon declared the prognosis good and the patient had a strong desire to undergo orthognathic surgery, so in November we performed a bimaxillary osteotomy, and administration of tamoxifen began 6 weeks after the osteotomy. Discussion There are breast cancer cases in which the prognosis is sufficiently good for a planned orthognathic surgery to proceed. Good communication among surgeons and the patient is important. Conclusion We experienced a case in which breast cancer was found just before the orthognathic surgery; we performed a bimaxillary osteotomy, including follow-up tamoxifen administration, during breast cancer treatment.

Original languageEnglish
Pages (from-to)30-34
Number of pages5
JournalInternational Journal of Surgery Case Reports
Volume31
DOIs
Publication statusPublished - 2017

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Orthognathic Surgery
Breast Neoplasms
Osteotomy
docetaxel
Tamoxifen
Segmental Mastectomy
Progesterone Receptors
Estrogen Receptors
Cyclophosphamide
Neoplasms
Radiotherapy
Communication

Keywords

  • Breast cancer
  • Orthognathic surgery
  • Tamoxifen

ASJC Scopus subject areas

  • Surgery

Cite this

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title = "Orthognathic surgery during breast cancer treatment—A case report",
abstract = "Introduction In recent years, patients with orthognathic surgery in middle-aged and elderly people have come to be a more frequent occurrence. Breast cancer is the most frequently diagnosed cancer in woman worldwide, and its prevalence rate is steadily increasing. Presentation of case We report a case of a 47-year-old Japanese woman in whom left-side breast cancer (Stage 1) was unexpectedly found just before orthognathic surgery in April 2012. Breast-conserving surgery was performed (estrogen receptor+, progesterone receptor+, HER2 −, surgical margin+, sentinel lymph node +) that May. From June to August docetaxel (75 mg/m2) and cyclophosphamide (600 mg/m2) were administrated four times every 21 days and thereafter radiotherapy (total 60 Gy) was completed. The cancer surgeon declared the prognosis good and the patient had a strong desire to undergo orthognathic surgery, so in November we performed a bimaxillary osteotomy, and administration of tamoxifen began 6 weeks after the osteotomy. Discussion There are breast cancer cases in which the prognosis is sufficiently good for a planned orthognathic surgery to proceed. Good communication among surgeons and the patient is important. Conclusion We experienced a case in which breast cancer was found just before the orthognathic surgery; we performed a bimaxillary osteotomy, including follow-up tamoxifen administration, during breast cancer treatment.",
keywords = "Breast cancer, Orthognathic surgery, Tamoxifen",
author = "Tsuyoshi Shimo and Norie Yoshioka and Masahiro Nakamura and Soichiro Ibaragi and Tatsuo Okui and Yuki Kunisada and Masanori Masui and Mayumi Yao and Koji Kishimoto and Shoko Yoshida and Akiyoshi Nishiyama and Hiroshi Kamioka and Akira Sasaki",
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AU - Shimo, Tsuyoshi

AU - Yoshioka, Norie

AU - Nakamura, Masahiro

AU - Ibaragi, Soichiro

AU - Okui, Tatsuo

AU - Kunisada, Yuki

AU - Masui, Masanori

AU - Yao, Mayumi

AU - Kishimoto, Koji

AU - Yoshida, Shoko

AU - Nishiyama, Akiyoshi

AU - Kamioka, Hiroshi

AU - Sasaki, Akira

PY - 2017

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N2 - Introduction In recent years, patients with orthognathic surgery in middle-aged and elderly people have come to be a more frequent occurrence. Breast cancer is the most frequently diagnosed cancer in woman worldwide, and its prevalence rate is steadily increasing. Presentation of case We report a case of a 47-year-old Japanese woman in whom left-side breast cancer (Stage 1) was unexpectedly found just before orthognathic surgery in April 2012. Breast-conserving surgery was performed (estrogen receptor+, progesterone receptor+, HER2 −, surgical margin+, sentinel lymph node +) that May. From June to August docetaxel (75 mg/m2) and cyclophosphamide (600 mg/m2) were administrated four times every 21 days and thereafter radiotherapy (total 60 Gy) was completed. The cancer surgeon declared the prognosis good and the patient had a strong desire to undergo orthognathic surgery, so in November we performed a bimaxillary osteotomy, and administration of tamoxifen began 6 weeks after the osteotomy. Discussion There are breast cancer cases in which the prognosis is sufficiently good for a planned orthognathic surgery to proceed. Good communication among surgeons and the patient is important. Conclusion We experienced a case in which breast cancer was found just before the orthognathic surgery; we performed a bimaxillary osteotomy, including follow-up tamoxifen administration, during breast cancer treatment.

AB - Introduction In recent years, patients with orthognathic surgery in middle-aged and elderly people have come to be a more frequent occurrence. Breast cancer is the most frequently diagnosed cancer in woman worldwide, and its prevalence rate is steadily increasing. Presentation of case We report a case of a 47-year-old Japanese woman in whom left-side breast cancer (Stage 1) was unexpectedly found just before orthognathic surgery in April 2012. Breast-conserving surgery was performed (estrogen receptor+, progesterone receptor+, HER2 −, surgical margin+, sentinel lymph node +) that May. From June to August docetaxel (75 mg/m2) and cyclophosphamide (600 mg/m2) were administrated four times every 21 days and thereafter radiotherapy (total 60 Gy) was completed. The cancer surgeon declared the prognosis good and the patient had a strong desire to undergo orthognathic surgery, so in November we performed a bimaxillary osteotomy, and administration of tamoxifen began 6 weeks after the osteotomy. Discussion There are breast cancer cases in which the prognosis is sufficiently good for a planned orthognathic surgery to proceed. Good communication among surgeons and the patient is important. Conclusion We experienced a case in which breast cancer was found just before the orthognathic surgery; we performed a bimaxillary osteotomy, including follow-up tamoxifen administration, during breast cancer treatment.

KW - Breast cancer

KW - Orthognathic surgery

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