Radically treated carcinoma lung with early metastasis to the tongue: A case report and review of literature

Ganesh, Alagu; Abraham, Sisha Liz; Thomas, Shaji; Anila, KR

doi:10.4103/2278-0513.142655

Cited by 2 publications

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“…Some studies have reported that lung is the most common primary source for cancers that spread to oral soft tissues and that the breast is a common source for tumours that metastasise to the jawbone [3]. The mandible, maxilla and temporomandibular joint are the commonest sites for bone metastases, while the gingiva (57%), tongue (27%), tonsils (8%), palate (4%), lip (3%), buccal mucosa (1%) and floor of mouth (<1%) are the most frequent sites for soft tissue metastases [4,5]. Most metastases to the orofacial region occur in patients between 40 and 70 years old, with a male-tofemale gender ratio of 2:1 [2].…”

Section: Discussionmentioning

confidence: 99%

“…The ipsilateral vocal cord palsy in our case can be explained by the left lung apical lesion, which is known to affect the course of the left recurrent laryngeal nerve. For a definite diagnosis, a tissue biopsy with special staining is very helpful in differentiating between metastases from the lung versus a primary carcinoma of the oral cavity [5]. CT-guided biopsy of the lung lesion also, if can be done, is confirmatory of the primary versus secondary lesions.…”

Section: Discussionmentioning

confidence: 99%

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Metastatic Lung Adenocarcinoma to the Oral Cavity

Najib¹,

Bakar²,

Hashim³

et al. 2023

JCHS

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Primary oral neoplasms are relatively common. They tend to have positive neck adenopathy at presentation. Metastatic deposits are rare, and mainly reported to the soft tissue of the oral cavity and to the jawbones. The possible primaries include gastrointestinal and genitourinary tracts. We report a case of an oral cavity mass with initial complaint of toothache and neck swelling with multiple neck nodes. Biopsies taken from the left retromolar trigone and supraclavicular lymph node revealed poorly differentiated metastatic adenocarcinoma. Computed tomography scan suggested primary lung cancer. Early detection of lung cancer should be the clinician’s concern. The presence of an oral mass already indicates a late stage of lung cancer with poor prognosis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Metastatic Lung Adenocarcinoma to the Oral Cavity

Najib¹,

Bakar²,

Hashim³

et al. 2023

JCHS

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Tongue swelling as a manifestation of tongue metastasis from pulmonary sarcomatoid carcinoma: A case report

Guo¹,

Jalil²,

Liu³

et al. 2021

WJCO

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BACKGROUND Sarcomatoid carcinoma is a rare subtype of non-small-cell lung cancer, commonly associated with locally advanced disease, early metastasis, and poor prognosis. Tongue metastasis from lung cancer is a rare condition that may occur in advanced stage of the disease. CASE SUMMARY The patient was a 70-year-old female with a history of resected pulmonary sarcomatoid carcinoma (PSC) who presented with subacute tongue swelling, imparting the clinical impression of a lingual abscess. However, histologic examination of the partial glossectomy revealed a high-grade, poorly differentiated spindle and epithelioid carcinoma consistent with metastatic PSC. CONCLUSION Although uncommon, clinicians should be cognizant of the possibility of a metastatic process to the tongue mimicking a benign or inflammatory process. A high index of suspicion for metastatic disease should be maintained when tongue swelling is observed in patients with a known history of PSC.

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Radically treated carcinoma lung with early metastasis to the tongue: A case report and review of literature

Cited by 2 publications

References 0 publications

Metastatic Lung Adenocarcinoma to the Oral Cavity

Metastatic Lung Adenocarcinoma to the Oral Cavity

Tongue swelling as a manifestation of tongue metastasis from pulmonary sarcomatoid carcinoma: A case report

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