A Case of Gingival Cancer with Improved Nutritional Status Through Nutrition Support Team （NST） Intervention

Abstract

： The patient was a 65-year-old female who underwent bilateral neck dissection and segmental mandibulec-tomy for right lower gingival squamous cell carcinoma. NST intervention was initiated from an early stage of postoperative chemoradiotherapy due to malnutrition. The nutritional status of the patient gradually improved through total par-enteral nutrition and/or percutaneous endoscopic gastrostomy （PEG）. Dysphagia rehabilitation was conducted and oral intake was increased. The gastrostomy tube was removed 296 days after PEG placement. The postoperative course was uneventful without any recurrence during 1 year and 6 months follow-up. The nutritional status of the patient is well maintained.