Tongue squamous cell carcinoma

Case contributed by Dr Bruno Di Muzio

Presentation

Heavy smoker complaining of an ulcerated lesion on his tongue.

Patient Data

Age: 39
Gender: Female
Modality: CT

There is an enhancing plaque like lesion at the right lateral posterior margin of the oral tongue. This measures 7 mm in depth X 14.6 mm AP X 12.6 mm CC.

There is no definite involvement of extrinsic muscles of the tongue although the tumour is close to the superior margin of the right hyoglossus muscle.There are number of cervical lymph nodes but none of which is suspicious by size or imaging criteria.

No destructive osseous lesion.

Conclusion: Right lateral tongue SCC (suggested radiological staging T1 N0).

Ultrasound tongue

Modality: Ultrasound

At the site of the right posterior lateral tongue lesion there is focal, well-defined hypoechoic change which has a maximum depth perpendicular to the tongue lateral surface 6 mm. It measures 12 mm in diameter at the surface of the tongue.

Modality: MRI

Focal lesion is seen in the right lateral tongue, in the posterior aspect of the oral tongue. Maximum depth is 6.3 millimetres. The length of the lesion is 10 mm. No clear extrinsic muscle involvement.

Mildly prominent bilateral submandibular and cervical chain lymph nodes, greater on the left.

Conclusion: MR findings suspicious for a right lateral oral tongue carcinoma, maximum depth 6.3 millimetres.

Case Discussion

The case was confirmed as a squamous cell carcinoma of the tongue. This tumour has tobacco smoking and alcohol ingestion as major risk factors. These tumours usually arise from the ventrolateral aspect of the mid and posterior tongue. 

Whether CT or MRI is used these features should be assessed:

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Case Information

rID: 37910
Case created: 25th Jun 2015
Last edited: 17th Jun 2016
System: Head & Neck
Inclusion in quiz mode: Included

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