Management of Fungating Oral Cancer: A Case Report

Shunyu, Neizekhotuo Brian; Balakrishnan, Manu C; Dorjee, Lham; Medhi, Ratan

doi:10.2478/fco-2023-0015

Abstract

Fungating growths are most distressing causing substantial psychological distress for patients and families. Malodor associated with fungating growth causes social isolation, yet malodor management remains suboptimal. Management of fungating cancer growth of oral cavity is unique and difficult. This paper discusses the management of malodor and infection associated with fungating wound including definitive treatment of fungating growth of an oral cavity cancer patient.

References

Abboud EC, Legare TB, Settle JC, et al. Do silver-based wound dressings reduce pain? A prospective study and review of the literature. Burns. 2014;40(suppl 1): S40–S47.
Search in Google Scholar Back to article
Benbow M. Best practice in wound assessment. Nurs Stand. 2016;30(27):40–47.
Search in Google Scholar Back to article
Lo SF, Hayter M, Hu WY, Tai CY, Hsu MY, Li YF. Symptom burden and quality of life in patients with malignant fungating wounds. J Adv Nurs. 2012;68(6):1312–1321.
Search in Google Scholar Back to article
Adderley U.J., Holt I.G. Topical agents and dressings for fungating wounds. Cochrane Database Syst Rev. 2014;(5):CD003948.
Search in Google Scholar Back to article
Alexander S. Malignant fungating wounds: key symptoms and psychosocial issues. J Wound Care. 2009;18: 325–329.
Search in Google Scholar Back to article
Fromantin I, Watson S, Baffie A, et al. A prospective, descriptive cohort study of malignant wound characteristics and wound care strategies in patients with breast cancer. Ostomy Wound Manage. 2014;60(6):38–48.
Search in Google Scholar Back to article
Samala RV, Davis MP. Comprehensive wound malodor management: win the RACE. Cleve Clin J Med. 2015;82(8):535–543.
Search in Google Scholar Back to article
Langemo DK, Anderson J, Hanson D, Hunter S, Thompson P. Managing fungating wounds. Adv Skin Wound Care. 2007;20(6):312–314.
Search in Google Scholar Back to article
Probst S, Arber A, Faithfull S. Malignant fungating wounds: a survey of nurses’ clinical practice in Switzerland. Eur J Oncol Nurs. 2009;13(4):295–298.
Search in Google Scholar Back to article
Thomas S, Fisher B, Fram PJ, Waring MJ. Odour-absorbing dressings. J Wound Care. 1998;7(5):246–250.
Search in Google Scholar Back to article
Ramasubbu DA, Smith V, Hayden F, Cronin P. Systemic antibiotics for treating malignant wounds. Cochrane Database Syst Rev. 2017;8:CD011609.
Search in Google Scholar Back to article
Samala RV, Davis MP. Comprehensive wound malodor management: win the RACE. Cleve Clin J Med. 2015;82(8):535–543.
Search in Google Scholar Back to article
Bower M, Stein R, Evans TR, Hedley A, Pert P, Coombes RC. A double-blind study of the efficacy of metronidazole gel in the treatment of malodorous fungating tumours. Eur J Cancer. 1992;28a(4–5):888–889.
Search in Google Scholar Back to article
Watanabe K, Shimo A, Tsugawa K, et al. Safe and effective deodorization of malodorous fungating tumors using topical metronidazole 0.75% gel (GK567): a multicenter, open-label, phase III study (RDT.07.SRE.27013). Support Care Cancer. 2016;24(6):2583–2590.
Search in Google Scholar Back to article
Kuge S, Tokuda Y, Ohta M, et al. Use of metronidazole gel to control malodor in advanced and recurrent breast cancer. Jpn J Clin Oncol. 1996;26(4):207–210.
Search in Google Scholar Back to article
Adderley UJ, Holt IG. Topical agents and dressings for fungating wounds. Cochrane Database Syst Rev. 2014(5):CD003948.
Search in Google Scholar Back to article
Akhmetova A, Saliev T, Allan IU, Illsley MJ, Nurgozhin T, Mikhalovsky S. A comprehensive review of topical odor-controlling treatment options for chronic wounds. J Wound Ostomy Continence Nurs. 2016;43(6):598–609.
Search in Google Scholar Back to article
Coombs TJ. Product profile: more than a wound dressing. Health Soc Serv J. 1981;91(4768):1268–1269.
Search in Google Scholar Back to article
Graham C. The role of silver in wound healing. Br J Nurs. 2005;14(19): S22, S24, S26.
Search in Google Scholar Back to article
Kalemikerakis J, Vardaki Z, Fouka G, et al. Comparison of foam dressings with silver versus foam dressings without silver in the care of malodorous malignant fungating wounds. J Buon. 2012;17(3):560–564.
Search in Google Scholar Back to article

Management of Fungating Oral Cancer: A Case Report

Abstract

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