Fanconi anemia and hematopoietic stem cell transplant as risk factors for oral squamous cell carcinoma: A case report with a 12-year follow-up

Spec Care Dentist. 2022 May;42(3):299-303. doi: 10.1111/scd.12668. Epub 2021 Nov 4.

Abstract

Fanconi anemia is a rare disorder resulting from defects in genes responsible for DNA damage responses. It is characterized by congenital anomalies, aplastic anemia, and a predisposition to cancer. Currently, hematopoietic stem cell transplant (HSCT) is the only curative treatment available for bone marrow failure; however, HSCT increases oral squamous cell carcinoma (OSCC) risk. Here we report the case of a patient diagnosed with Fanconi anemia in childhood who was treated with HSCT and later diagnosed with multiple OSCCs during a 12-year follow-up. Despite multiple surgical interventions and radiotherapy regimens, the patient`s health deteriorated. Management of individuals with Fanconi anemia is challenging and must be provided by a multidisciplinary healthcare team to ensure better staging, treatment planning, and coordination.

Keywords: Fanconi anemia; dental care for the chronically ill; hematopoietic stem cell transplantation; oral cancer.

Publication types

  • Case Reports

MeSH terms

  • Carcinoma, Squamous Cell* / therapy
  • Fanconi Anemia* / complications
  • Fanconi Anemia* / therapy
  • Follow-Up Studies
  • Head and Neck Neoplasms*
  • Hematopoietic Stem Cell Transplantation* / adverse effects
  • Humans
  • Mouth Neoplasms* / therapy
  • Risk Factors
  • Squamous Cell Carcinoma of Head and Neck / complications