Extensive tubercular neck lymphadenopathy in a man with early-stage tongue cancer.
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.


METHODS
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.


METHODS
Carcinoma of the tongue of pathologic stage T2 N0 M0, with tubercular lymphadenitis and no nodal metastases.


RESULTS
Surgical excision and multidrug antitubercular therapy.
Head and Neck Service, Department of Surgical Oncology, Tata Memorial Hospital, Mumbai, India. drchaturvedip@rediffmail.com
Pankaj
P
Chaturvedi
Prathamesh S
PS
Pai
Devendra A
DA
Chaukar
Mandar S
MS
Deshpande
Venkatesh
V
Rangarajan
Nilendu
N
Purandare
Anil K
AK
D'cruz
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology / Q000556:secondary; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009362:Neoplasm Metastasis / Q000000981:diagnostic imaging; D049268:Positron-Emission Tomography; D014062:Tongue Neoplasms / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology; D014388:Tuberculosis, Lymph Node / Q000150:complications / Q000000981:diagnostic imaging*