Four synchronous cancers in a patient with tongue pain as the only symptom
| Autor: | Jørgen Johansen, Jens Ahm Sørensen, Stine Rosenkilde Larsen, Lene Nyhøj Heidemann |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
0301 basic medicine
Oncology Male medicine.medical_specialty Follicular lymphoma Pain Article Neoplasms Multiple Primary 03 medical and health sciences 0302 clinical medicine Tongue pain Tongue Internal medicine Positron Emission Tomography Computed Tomography medicine Humans In patient Neoplasm Metastasis Aryepiglottic fold Laryngeal Neoplasms Aged medicine.diagnostic_test business.industry Lymphoma Non-Hodgkin General Medicine medicine.disease Head and neck squamous-cell carcinoma Tongue Neoplasms stomatognathic diseases 030104 developmental biology medicine.anatomical_structure Treatment Outcome Positron emission tomography Head and Neck Neoplasms 030220 oncology & carcinogenesis Carcinoma Squamous Cell Lymph Nodes business Metabolic activity |
| Zdroj: | Nyhøj Heidemann, L, Johansen, J, Larsen, S R & Sørensen, J A 2016, ' Four synchronous cancers in a patient with tongue pain as the only symptom ', BMJ Case Reports, vol. 2016, 214047 . https://doi.org/10.1136/bcr-2015-214047 |
| Popis: | Synchronous carcinomas may be present in up to 6% of patients with head and neck squamous cell carcinoma (HNSCC) and thus may represent a significant factor in the disease burden. This case report illustrates the importance of a thorough examination of these patients. This patient presented with three synchronous squamous cell carcinomas, two in the tongue and one in the aryepiglottic fold. Positron emission tomography CT (PET-CT) was required for the detection of the carcinomas as the initial MRI and CT scans were inconclusive due to artefacts. Furthermore, PET-CT also revealed increased metabolic activity in the lymph nodes of the neck, which subsequently led to detection of a low-grade follicular lymphoma in addition to the squamous cell carcinomas. These findings support a generous use of PET-CT in patients with HNSCC, at least in those with obvious risk factors. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|