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.
Chaturvedi
Pankaj
P
Head and Neck Service, Department of Surgical Oncology, Tata Memorial Hospital, Mumbai, India. drchaturvedip@rediffmail.com
Pai
Prathamesh S
PS
Chaukar
Devendra A
DA
Deshpande
Mandar S
MS
Rangarajan
Venkatesh
V
Purandare
Nilendu
N
D'cruz
Anil K
AK
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*