Presentation
Tongue mass.
Patient Data
Ill-defined soft tissue mass of the left hemitongue centered on the body-root junction. It elicits a low signal on T1, intermediate signal on T2 with restricted diffusion and vivid heterogeneous enhancement on postcontrast sequences. It invades the left intrinsic muscles (especially the superior longitudinal, inferior longitudinal and transverse muscles) with posterior extension invading the extrinsic muscles (especially the palatoglossus, styloglossus and hyoglossus muscles and medially the genioglossus muscle). No evident extension onto the floor of the mouth.
Small enlarged lymph nodes (level IIa and IIb).
Case Discussion
MRI features of tongue tumor, biopsy-proven as squamous cell carcinoma
Tobacco smoking and alcohol ingestion are the major risk factors for squamous cell carcinoma of the tongue.
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