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Case Reports
. 2015 Jan;7(1):24-6.
doi: 10.4103/1947-2714.150085.

Cutaneous metastasis from squamous carcinoma of the base of tongue

Tashnin Rahman  1 , Manigreeva Krishnatreya  2 , Anupam Sarma  3 , Mahesh Kumar  1 , Amal C Kataki  1
Affiliations
Case Reports

Cutaneous metastasis from squamous carcinoma of the base of tongue

Tashnin Rahman et al. N Am J Med Sci. 2015 Jan.

Abstract

Context: Cutaneous metastasis from head and neck cancer is uncommon and it is seen from laryngeal cancer. Cutaneous metastasis from the base of tongue is relatively rare.

Case report: A 55-year-old male, who was a treated case of squamous carcinoma of the base of tongue presented with metastatic nodule on the skin of face and thigh. But, there was complete resolution of the tumor at the primary site. In the present case, clinically obvious cutaneous nodules with metastasis appeared soon after the completion of treatment with concurrent chemo-radiotherapy. The metastasis to the skin of face clinically appeared like an inflammatory lesion. Fine needle aspiration cytology confirmed the diagnosis of metastasis to skin at both the sites.

Conclusion: Our case has highlighted that there could be associated occult skin metastasis at the time of diagnosis in squamous carcinoma of the base of tongue.

Keywords: Base of tongue; cutaneous; head and neck cancers; metastasis.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Picture showing the sub cutaneous nodule at the left infrazygomatic region and a slough covered and ulcerated cutaneous nodule on the thigh
Figure 2
Figure 2
CT scan image showing a heterogeneously enhanced soft tissue mass of 48 mm × 35 mm in the left infra-zygomatic region
Figure 3
Figure 3
Photomicrograph with MGG stain (40X) showing clusters of neoplastic cells with irregular hyperchromatic nuclei and variable amount of cytoplasm suggestive of metastatic squamous carcinoma
See this image and copyright information in PMC

References

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