Lingual metastasis as the initial presentation of a large cell lung carcinoma

Mui, Stanley; Smith, Ann E.

doi:10.1016/s0194-5998(99)70188-9

Cited by 12 publications

(9 citation statements)

References 5 publications

(11 reference statements)

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“…He appeared to be well nourished and showed no sign of systemic disease. There have been only two case reports in which the lingual metastasis was the initial presentation of lung cancer (5,6).…”

Section: Discussionmentioning

confidence: 99%

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Tongue Metastasis as an Initial Presentation of a Lung Cancer

et al. 2004

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Metastasis to the tongue seldom occurs, and lingual metastasis as an initial sign of cancer occurs even less frequently. We report a case of lung cancer in which the patient's initial symptom was related to the tongue metastasis. A 63-year-old man had a submucosal tumor on the left posterolateral aspect of the tongue and a biopsy specimen of the tongue tumor showed poorly differentiated squamous cell carcinoma. A chest X-ray showed a mass in the right lung and cytological examination of the specimen obtained by bronchial brushing showed poorly differentiated squamous cell carcinoma, whose appearance was similar to that of the tongue. Based on these findings, the tongue lesion was diagnosed a metastatic tumor from the lung cancer. The patient received radiation therapy combined with systemic chemotherapy, however, he died 5 months after the diagnosis of lung cancer. An autopsy revealed a lung cancer in the right lower lobe with metastatic tumors in the tongue, right middle lobe, left upper lobe, liver, adrenal gland, pericardium, heart, and subcutaneous tissues. No other possible primary cancer that may have been the cause of the metastases was identified.

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Section: Discussionmentioning

confidence: 99%

“…4). A chest CT scan showed a tumor, about 7×6×6 cm in size, with a cavity in the right S 6 , and a right hilar and a subcarinal lymphadenopathy ( endoscopy showed poorly differentiated squamous cell carcinoma (Fig. 3B), whose appearance was similar to that of the tongue.…”

Section: Case Reportmentioning

confidence: 99%

Tongue Metastasis as an Initial Presentation of a Lung Cancer

et al. 2004

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“…Retrograde lymphatic metastatic spread may also occur, but this is the most unlikely route. [10] According to our knowledge, there is no simultaneous tongue and cervical lymph node metastasis of lung cancer previously reported. Since our patient had no distant metastasis except for tongue and cervical lymph node, the lymphatic circulation seems to be the possible path for distant metastasis.…”

Section: Discussionmentioning

confidence: 84%

“…[10] Because most patients who are seen initially for lingual metastasis have widespread metastasis at diagnosis, the systemic circulation seems to be the most common path for tumor cell. [10] Tumor cell from the lung can enter the left side of the heart and thus the systemic circulation through a pulmonary vein. The vertebral veins of Batson have been thought to be possible venous conduit for tumor cells.…”

Section: Discussionmentioning

confidence: 99%

Lung Adenocarcinoma: A Rare Metastasis To The Tongue

Güven¹,

Öcal²,

Eyibilen³

et al. 2008

TUTFD

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“…Symptoms from the tongue, duodenal or pancreatic metastasis at the initial presentation is extremely rare. About 1% of lesions in the oral cavity are due to metastasis from other primary sites 1. Like with primary tongue cancer, metastatic tongue lesions could be ulcerative to polypoid 1.…”

Section: Introductionmentioning

confidence: 99%

Oral and gastrointestinal symptomatic metastases as initial presentation of lung cancer

Jeba

Backianathan²,

Ishitha

et al. 2016

BMJ Case Reports

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Metastasis to the tongue, duodenum or pancreas from primary lung cancer is uncommon. Primary lung cancer presenting with symptoms related to metastases at these sites, at initial presentation is extremely rare. We report a 45-year-old man with disseminated lung malignancy who presented with dyspepsia, melena, symptoms due to anaemia and swelling in the tongue. Oral examination revealed a hard submucosal anterior tongue lesion. Biopsies from the tongue lesion and the duodenal ulcer seen on upper gastrointestinal endoscopy were suggestive of metastasis from lung primary. CT revealed lung primary with disseminated metastasis to lung, liver, adrenals, kidneys, head and body of pancreas, duodenum and intra-abdominal lymph nodes. The patient was treated with palliative chemotherapy. The unusual presentation and diagnostic details are discussed.

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Lingual metastasis as the initial presentation of a large cell lung carcinoma

Cited by 12 publications

References 5 publications

Tongue Metastasis as an Initial Presentation of a Lung Cancer

Tongue Metastasis as an Initial Presentation of a Lung Cancer

Lung Adenocarcinoma: A Rare Metastasis To The Tongue

Oral and gastrointestinal symptomatic metastases as initial presentation of lung cancer

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