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

Nature Clinical Practice Oncology volume 4, pages 726–728 (2007)Cite this article

Abstract

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.

Investigations 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.

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

Management Surgical excision and multidrug antitubercular therapy.

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Figure 1: Image of the tongue lesion described in this patient.
Figure 2: [18F]-2-fluoro-2-deoxy-D-glucose-PET–CT scan of the patient's neck.

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Authors and Affiliations

  1. Department of Surgical Oncology, and N Purandare is an Assistant Professor at the Department of Bio-imaging, P Chaturvedi, PS Pai, DA Chaukar and MS Deshpande are Associate Professors, and AK D'cruz is a Professor, all at the Head and Neck Service, V Rangarajan is an Associate Professor, all at the Tata Memorial Hospital, Mumbai, India.,

    Pankaj Chaturvedi, Prathamesh S Pai, Devendra A Chaukar, Mandar S Deshpande, Venkatesh Rangarajan, Nilendu Purandare & Anil K D'cruz

Authors
  1. Pankaj Chaturvedi
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  2. Prathamesh S Pai
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  3. Devendra A Chaukar
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  4. Mandar S Deshpande
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  5. Venkatesh Rangarajan
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  6. Nilendu Purandare
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  7. Anil K D'cruz
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Corresponding author

Correspondence to Pankaj Chaturvedi.

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The authors declare no competing financial interests.

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Chaturvedi, P., Pai, P., Chaukar, D. et al. Extensive tubercular neck lymphadenopathy in a man with early-stage tongue cancer. Nat Rev Clin Oncol 4, 726–728 (2007). https://doi.org/10.1038/ncponc0981

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  • DOI: https://doi.org/10.1038/ncponc0981

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