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Lymphoma of the base of the tongue: an incidental finding on the preoperative workup for a spine surgery.

Walid MS - J Clin Med Res (2009)

Bottom Line: Lymphoma of the tongue is very rare and accounts for 1% of all malignant tumors of the oral cavity.We present a patient who presented with weakness and difficulties with ambulation who was a known cervical spine spondylosis and stenosis patient.During the preoperative workup for cervical spine surgery a tumor at the base of the tongue was discovered which was confirmed by pathology to be a lymphoma.

View Article: PubMed Central - PubMed

Affiliation: Medical Center of Central Georgia, 840 Pine Street, Suite 880, Macon, GA 31201, USA. Email: mswalid@yahoo.com.

ABSTRACT

Unlabelled: Lymphoma of the tongue is very rare and accounts for 1% of all malignant tumors of the oral cavity. We present a patient who presented with weakness and difficulties with ambulation who was a known cervical spine spondylosis and stenosis patient. During the preoperative workup for cervical spine surgery a tumor at the base of the tongue was discovered which was confirmed by pathology to be a lymphoma.

Keywords: Lymphoma; Tongue; Spine surgery; Preoperative workup.

No MeSH data available.


Related in: MedlinePlus

MRI T2 of the cervical spine showing multilevel spondylosis and moderate cord impingement at C3-C4.
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Figure 1: MRI T2 of the cervical spine showing multilevel spondylosis and moderate cord impingement at C3-C4.

Mentions: Lymphoma of the tongue is very rare and accounts for 1% of all malignant tumors of the oral cavity [1-5]. We present a 73 year-old Caucasian man with history of hypertension, chronic obstructive pulmonary disease, and hyperlipidemia who presented in 2008 because of weakness and was ambulating using a walker. In 2004, he was diagnosed with multilevel cervical spondylosis, moderate spinal stenosis at C3-C4 with bilateral foraminal stenosis and central disk protrusion at C5-C6. He was also found to have a moderate-to-severe stenosis at L3-L5. He was a lifelong smoker with nearly a 100 pack-year history. On admission he had low sodium (128 mEq/L). A postadmission MRI shows a moderately advanced multilevel spondylosis most pronounced at C3-C4 with prominent disc bulge causing moderate cord impingement (Fig. 1). The myelogram shows an apparent block in the central spinal canal at the C3-C4 level with grade I anterolisthesis at the same level and degenerative changes throughout the mid and lower cervical spine.


Lymphoma of the base of the tongue: an incidental finding on the preoperative workup for a spine surgery.

Walid MS - J Clin Med Res (2009)

MRI T2 of the cervical spine showing multilevel spondylosis and moderate cord impingement at C3-C4.
© Copyright Policy - open access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3318884&req=5

Figure 1: MRI T2 of the cervical spine showing multilevel spondylosis and moderate cord impingement at C3-C4.
Mentions: Lymphoma of the tongue is very rare and accounts for 1% of all malignant tumors of the oral cavity [1-5]. We present a 73 year-old Caucasian man with history of hypertension, chronic obstructive pulmonary disease, and hyperlipidemia who presented in 2008 because of weakness and was ambulating using a walker. In 2004, he was diagnosed with multilevel cervical spondylosis, moderate spinal stenosis at C3-C4 with bilateral foraminal stenosis and central disk protrusion at C5-C6. He was also found to have a moderate-to-severe stenosis at L3-L5. He was a lifelong smoker with nearly a 100 pack-year history. On admission he had low sodium (128 mEq/L). A postadmission MRI shows a moderately advanced multilevel spondylosis most pronounced at C3-C4 with prominent disc bulge causing moderate cord impingement (Fig. 1). The myelogram shows an apparent block in the central spinal canal at the C3-C4 level with grade I anterolisthesis at the same level and degenerative changes throughout the mid and lower cervical spine.

Bottom Line: Lymphoma of the tongue is very rare and accounts for 1% of all malignant tumors of the oral cavity.We present a patient who presented with weakness and difficulties with ambulation who was a known cervical spine spondylosis and stenosis patient.During the preoperative workup for cervical spine surgery a tumor at the base of the tongue was discovered which was confirmed by pathology to be a lymphoma.

View Article: PubMed Central - PubMed

Affiliation: Medical Center of Central Georgia, 840 Pine Street, Suite 880, Macon, GA 31201, USA. Email: mswalid@yahoo.com.

ABSTRACT

Unlabelled: Lymphoma of the tongue is very rare and accounts for 1% of all malignant tumors of the oral cavity. We present a patient who presented with weakness and difficulties with ambulation who was a known cervical spine spondylosis and stenosis patient. During the preoperative workup for cervical spine surgery a tumor at the base of the tongue was discovered which was confirmed by pathology to be a lymphoma.

Keywords: Lymphoma; Tongue; Spine surgery; Preoperative workup.

No MeSH data available.


Related in: MedlinePlus