Tuberculosis Research Today is a free monthly online journal that collates and summarizes the latest research about Tuberculosis, including details on symptoms, causes, treatment, pulmonary, mycobacterium.

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

Chaturvedi P, Pai PS, Chaukar DA, Deshpande MS, Rangarajan V, Purandare N, D'cruz AK

Head and Neck Service, Department of Surgical Oncology, Tata Memorial Hospital, Mumbai, India. drchaturvedip@rediffmail.com

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.

Published 26 November 2007 in Nat Clin Pract Oncol, 4(12): 726-8.
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