Document Detail

Extensive tubercular neck lymphadenopathy in a man with early-stage tongue cancer.
MedLine Citation:
PMID:  18037877     Owner:  NLM     Status:  MEDLINE    
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.
Pankaj Chaturvedi; Prathamesh S Pai; Devendra A Chaukar; Mandar S Deshpande; Venkatesh Rangarajan; Nilendu Purandare; Anil K D'cruz
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Nature clinical practice. Oncology     Volume:  4     ISSN:  1743-4262     ISO Abbreviation:  -     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-11-26     Completed Date:  2007-12-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101226509     Medline TA:  Nat Clin Pract Oncol     Country:  England    
Other Details:
Languages:  eng     Pagination:  726-8     Citation Subset:  IM    
Head and Neck Service, Department of Surgical Oncology, Tata Memorial Hospital, Mumbai, India.
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MeSH Terms
Carcinoma, Squamous Cell / complications,  pathology,  radionuclide imaging*,  secondary
Diagnosis, Differential
Neoplasm Metastasis / radionuclide imaging
Positron-Emission Tomography*
Tongue Neoplasms / complications,  pathology,  radionuclide imaging*
Tuberculosis, Lymph Node / complications,  radionuclide imaging*

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