Objectives. Cases of patients affected by oral squamous cell carcinoma (OSCC) and not treated with surgery or radio-chemotherapy have not been reported yet. We present a case of an untreated patient with a 32-month follow-up. Materials and methods. A 95-year-old woman presented with a squamous cell carcinoma of the buccal and palatal gingiva from 1.3 to 2.2. Because of the patient?s age, we decided not to treat the lesion with surgery or radio-chemotherapy. Results. Currently, the patient has a 32-month follow-up, without any evident worsening of her health. Conclusions. OSCC surgical therapy and radiotherapy often cause terrible deficiencies with a significant worsening in patients? quality of life. Even if it has not been reported a cut-off age for surgical treatment, the need of therapy should be decided according to the patient?s age, other diseases and quality of life. © 2012 Elsevier Srl. Tutti i dirtti riservati.
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