Medial lingual lymph node metastasis in carcinoma of the tongue |
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| Affiliation: | 1. Department of Otorhinolaryngology–Head and Neck Surgery, Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita City, Osaka 565-0871, Japan;2. Department of Otolaryngology, Kindai University Faculty of Medicine, Osakasayama City, Osaka, Japan;3. Department of Otolaryngology-Head and Neck Surgery, National Hospital Organization Osaka National Hospital, Osaka City, Osaka, Japan;4. Senri Nose Clinic, Toyonaka City, Osaka, Japan;5. Department of Otorhinolaryngology-Head and Neck Surgery, Osaka Rosai Hospital, Sakai City, Osaka, Japan;6. Department of Otorhinolaryngology, Osaka Habikino Medical Center, Osaka Prefectural Hospital Organization, Habikino City, Osaka, Japan |
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| Abstract: | Lingual lymph node metastases are rarely seen in carcinoma of the tongue, and these nodes are not removed during neck dissection. Lingual lymph nodes are classified into medial and lateral groups, and metastasis to the former is extremely rare. A 55-year-old male with squamous cell carcinoma of the tongue, (stage T4aN0M0), underwent hemiglossectomy with neck dissection and free flap reconstruction. The lingual septum had a mass, 8 mm in size, which was diagnosed as medial lingual lymph node metastasis on histopathology. The patient developed multiple distant metastases and died of disease 18 months after the initial surgery. The presence of medial lymph node metastasis could result in contralateral neck metastases and worsen prognosis. Such cases may warrant more intensive therapy than recommended by current guidelines. |
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| Keywords: | Lingual lymph nodes Lingual carcinoma Cancer Medial lingual nodes Lymph node metastasis |
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