Metastatic tumor to the tongue

Zegarelli, David J.; Tsukada, Yoshiaki; Pickren, John W.; Greene, George W.

doi:10.1016/0030-4220(73)90286-7

Cited by 107 publications

(52 citation statements)

References 11 publications

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“…In a series of 12 cases in which the lingual lesion was found before death, the lingual metastasis in 4 patients was initially thought to be a primary tumor (3). Like primary lesions of the tongue, lingual metastases have a gross appearance that varies from ulcerated to polypoid.…”

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%

“…However, tongue metastasis is rarely the initial presentation of carcinoma. Metastases are usually found months after diagnosis of the primary tumor or autopsy (1)(2)(3)(4). We report a case of lung cancer in which the patient's initial symptom was related to the tongue metastasis.…”

Section: Introductionmentioning

confidence: 97%

Tongue Metastasis as an Initial Presentation of a Lung Cancer

et al. 2004

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“…Only 1% of all intraoral malignant neoplasms are metastatic and, of these, only 5% appear on the tongue. 1 Zegarelli et al 2 …”

Section: Discussionmentioning

confidence: 99%

Metástasis lingual de carcinoma renal

Regalado

Álvarez

Martínez

et al. 2007

Rev Esp Cirug Oral y Maxilofac

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Paciente varón de 81 años de edad con antecedentes personales de hipotiroidismo, hipertrofia benigna de próstata, glaucoma y nefrectomía derecha por carcinoma renal de células claras en Junio de 2004 (Fig. 1). Actualmente presenta metástasis pulmonares bilaterales en seguimiento por el Servicio de Oncología quien, hasta la fecha, no ha considerado indicado el inicio de tratamiento quimioterápico.Acude a consultas externas de Cirugía Oral y Maxilofacial por presentar tumoración en borde lateral lingual de varias semanas de evolución. A la exploración física distinguimos una tumoración excrecente polilobulada y friable en borde posterolateral derecho de la lengua y dimensiones de 2x1 cm (Fig. 2). El resto de la exploración es normal, no palpándose adenopatías cervicales clínicamente positivas.Ante estos hallazgos tomamos una muestra para biopsia. El estudio anátomopatológico objetiva metástasis ulcerada de carcinoma de células claras y, dados los antecedentes clínicos del paciente, se diagnostica como metástasis del carcinoma renal.Como estrategia terapéutica a seguir consideramos la extirpación local de la lesión ya que el estado general del paciente era bueno y presentaba molestias en la zona.Mediante anestesia local se procede a su extirpación y cierre directo. La pieza quirúrgica obtenida fue descrita macroscópicamente como formación polilobulada irregular de 1,9x1,1 cm de dimensiones máxi-mas, con coloración pardusca y áreas negruzcas al corte. Su estudio histológico definitivo confirmó la metástasis ulcerada de carcinoma de células claras de riñón (Fig. 3).La evolución del paciente ha sido, hasta el momento, favorable.

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“…[2,3] Tumor metastasis to the tongue is extremely rare, with a frequency of 0.1% to 0.2% in autopsy series of patients with disseminated cancer. [4] Possible routes of metastasis to the tongue include systemic, venous and lymphatic circulations. A case of lung adenocarcinoma with simultaneous tongue and cervical lymph node metastases is presented in this report, which had no additional distant metastases.…”

Section: Pathology Medical Faculty Of Gaziosmanpaşa University Tokatmentioning

confidence: 99%