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Extensive tubercular neck lymphadenopathy in a man with early-stage tongue cancer
Pankaj Chaturvedi1, Prathamesh S Pai, Devendra A Chaukar
1Head and Neck Service, Department of Surgical Oncology, Tata Memorial Hospital, Mumbai, India. drchaturvedip@rediffmail.com
Background:
A 66-year-old Asian man presented with a tongue ulcer and without palpable metastases to the neck nodes. A thorough clinical examination of the head and neck region did not reveal any other primary lesion. To assess the status of the neck, PET-CT imaging was advised.
Investigations:
Physical examination, punch biopsy, PET-CT imaging, blood tests, chest radiograph, fine-needle aspiration biopsy, tumor biopsy, neck incision, tuberculin test, sputum culture and histopathology.
Diagnosis:
Carcinoma of the tongue of pathologic stage T2 N0 M0, with tubercular lymphadenitis and no nodal metastases.
Management:
Surgical excision and multidrug antitubercular therapy.
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