Base of tongue tumor: squamous cell carcinoma

Case contributed by Smita Deb
Diagnosis almost certain


3-4 months left sided neck lump associated with dysphagia and odynophagia. FNA +ve for SCC. Panendoscopy and Bx revealed right and left base of tongue lesions.

Patient Data

Age: 53
Gender: Male

A bulky, lobulated mass at the base of the tongue near the lingual tonsil with extension into the valleculae bilaterally (41 x 21mm).

A separate right faucial tonsil mass is present (16 x 12 mm) and involves the left faucial tonsil in direct continuation.


  • large bilateral lymphadenopathy (jugular chains levels 2- 4). Right sided lymphadenopathy appears partially necrotic.
  • probable right supraclavicular lymphadenopathy (partially imaged).

Case Discussion

Case submitted by Dr Smita Deb & A/Prof Pramit Phal.

Base of tongue SCC.


  • T4a - invasion of tumor into valleculae (larynx).
  • N2c - metastasis in bilateral lymph nodes <6cm.

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