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Tongue base squamous cell carcinoma

Case contributed by Saad Ahmed Saad Hassan
Diagnosis certain

Presentation

Tongue base mass, cervical lymphadenopathy

Patient Data

Age: 55 years
Gender: Male

A large, infiltrating, enhanced mass is seen involving the entire tongue base and invading the floor of the mouth anteriorly, filling the vallecula and abutting the superior surface of the epiglottis posteriorly.

The pre-epiglottic fat is clear.

There are bilateral enlarged levels II & III necrotic lymph nodes.

Case Discussion

cT4 N2c tongue base tumor.

Histology from biopsy: Moderate to poorly differentiated squamous cell carcinoma.

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