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- Title
Patient with Lingual Thyroid and Squamous Cell Carcinoma of the Tongue Base - Case Report.
- Authors
Čandrlić, Barbara; Pusić, Marin; Kukuljan, Melita; Cvjetković, Niko; Matana, Zrinka; Miletić, Damir
- Abstract
We demonstrate a rare case of lingual thyroid together with squamous cell carcinoma of the base of tongue. 54-year--old patient presented with left sided lymph node enlargement in regions II, III and IV, without any clinical symptoms. Physical examination revealed semicircular bulge at the base of tongue measuring 30x20 mm and tumorous lesion was suspected. Neck ultrasound showed pathological enlargement of lymph nodes and FN A of lymph node revealed squa-mous carcinoma cells in the smear. Further investigation included CT and MRI of the neck depicted ectopic thyroid tis-sue in base of tongue and enlarged and necrotic lymph nodes in regions II and III. Primary carcinoma could not be de-picted. Biopsy of the lingual mass was performed and histology confirmed ectopic thyroid tissue. Physical examination of the oral cavity was repeated and suspicious area on the left side of the tongue base near ectopic thyroidal tissue was identified. Histology after biopsy confirmed squamous cell carcinoma with superficial growth. This case emphasizes the important role that collaboration of radiologist and otorhinolaryngologyst has in correctly diagnosing oropharyngeal pathology. Also, we underline the importance of careful oropharyngeal region screening in case of unknown pathologic lymphadenopathy, when the possibility of oropharyngeal cancer has to be considered. Prikazali smo rijedak slučaj jezične štitnjače udružene sa planocelularnim karcinomom baze jezika. Bolesnik u dobi od 54 godine se prezentirao sa ljevostranim čvorovima na vratu u regiji II, III i iy bez drugih simptoma. Citološkom punkcijom čvora su dobivene maligne pločate stanice. Fizikalnim pregledom je uočena polukružna tvorba baze jezika suspektna na tumor. Daljnje pretrage su uključivale CT i MR vrata te su pokazale ektopično tkivo štitnjače u bazi jezika i povečane nekrotične čvorove u regijama II i III. Nije prikazan promarni karcinom. Biopsijom baze jezika je potvrdená ektopična štitnjača. Ponovljen je klinički pregled usne šupljine, te je detektirano suspektno područje na lijevoj stráni jezika blizu ektopične štitnjače. Ponovljena biopsija je potvrdila planocelularni karcinom. Ovaj slučaj naglašava potrebu suradnje radiologa i otorinolaringologa potrebnú za točnú dijagnostiku orofaringealne regije. Takoder napominjemo važnost egzaktnog pregleda orofarinksa kod nepoznáte limfadenopatije, gdje treba razmotriti mogučnost primarnog tumora orofarinksa.
- Subjects
THYROID cancer patients; SQUAMOUS cell carcinoma; CLINICAL trials; CANCER tomography; PERIODIC health examinations; BIOPSY; TUMOR growth
- Publication
Collegium Antropologicum, 2012, Vol 36, p227
- ISSN
0350-6134
- Publication type
Article