Page 79 - FINAL COMPENDIUM 2020-2021 27.2.2022

MANAGING ORAL SQUAMOUS CELL CARCINOMA IN A CHRONIC KIDNEY DISEASE
PATIENT

Hussein AZ, Omar AN, Yahiya MA, Al-Idrus SM

Introduction: Chronic Kidney Disease (CKD) is defined as the presence of kidney damage,
manifested by abnormal albumin excretion or decreased kidney function, quantified by
measured or estimated glomerular filtration rate (GFR), that persists for more than three
months. CKD is a common and serious problem worldwide. According to the National
Health and Morbidity Survey in 2011, the prevalence in West Malaysia was 9.07%. This
prevalence has since increased to 15.5% in 2018. Although the incidence of cancer in CKD
patients has increased, there is a paucity of available information on the optimal
management of CKD patients with cancer. Because of uncertainty, general treatment
goals may vary widely with clinician and patient preferences. Case report: This report
describes the management of a patient who was diagnosed with Oral Squamous Cell
Carcinoma with underlying CKD who has been on dialysis since 2018. The treatment
involved a multi-disciplinary approach in order to give the patient the best possible quality
of life. This required close surveillance for his renal condition and cancer management.
This involved close monitoring of electrolytes, cardiovascular, pulmonary and nutritional
status, psychological support, as well as close surveillance for infection and other
complications.

Oral presentation at the 25 Annual General Scientific Meeting 2021 MAOMS on 20 March 2021
th
Dr Ain Zubaidah Hussein
Dr Mohammad Adzwin Yahiya
Dr Aezy Noorazah Omar
Dr Sharifah Munirah Al-Idrus
Department of Oral & Maxillofacial Surgery
Hospital Kajang, Selangor

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