Four synchronous cancers in a patient with tongue pain as the only symptom

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

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.

OriginalsprogEngelsk
Artikelnummer214047
TidsskriftBMJ Case Reports
Vol/bind2016
ISSN1757-790X
DOI
StatusUdgivet - 5. maj 2016

Fingeraftryk

Neoplasms
Follicular Lymphoma
Non-Hodgkin's Lymphoma
Artifacts
Lymph Nodes

Citer dette

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title = "Four synchronous cancers in a patient with tongue pain as the only symptom",
abstract = "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.",
author = "{Nyh{\o}j Heidemann}, Lene and J{\o}rgen Johansen and Larsen, {Stine Rosenkilde} and S{\o}rensen, {Jens Ahm}",
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Four synchronous cancers in a patient with tongue pain as the only symptom. / Nyhøj Heidemann, Lene; Johansen, Jørgen; Larsen, Stine Rosenkilde; Sørensen, Jens Ahm.

I: BMJ Case Reports, Bind 2016, 214047, 05.05.2016.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Four synchronous cancers in a patient with tongue pain as the only symptom

AU - Nyhøj Heidemann, Lene

AU - Johansen, Jørgen

AU - Larsen, Stine Rosenkilde

AU - Sørensen, Jens Ahm

PY - 2016/5/5

Y1 - 2016/5/5

N2 - 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.

AB - 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.

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DO - 10.1136/bcr-2015-214047

M3 - Journal article

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JO - B M J Case Reports

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SN - 1757-790X

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ER -