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Adenocarcinoma not otherwise specified on dorsum of tongue: case report and literature review

Identifieur interne : 001A32 ( Pmc/Corpus ); précédent : 001A31; suivant : 001A33

Adenocarcinoma not otherwise specified on dorsum of tongue: case report and literature review

Auteurs : B. A. Market Velker ; A. V. Louie ; V. M. Velker ; K. F. Kwan ; J. H. Franklin ; V. M. Venkatesan

Source :

RBID : PMC:3457887

Abstract

Primary adenocarcinoma of the oropharynx most often arises from the minor salivary glands, and primary squamous cell carcinoma is more commonly seen arising from the tongue. Few cases of adenocarcinoma not otherwise specified of the tongue have been reported in the literature, and none found on the dorsum of the tongue. Successful treatment strategies have therefore not been defined.

We report a case of adenocarcinoma located on the dorsum of the posterior one third of the tongue adjacent to the circumvallate papillae in a woman presenting with globus sensation and mild dysphagia. Treatment consisted of transoral laser excision and postoperative external-beam radiotherapy, resulting in disease-free survival at her 5-year follow-up. The goals of this report are to present a case of adenocarcinoma arising from the minor salivary gland located on the dorsum of the tongue, to discuss previous reports of similar cases, and to suggest that surgery with or without radiotherapy be used as the mainstay of treatment.


Url:
DOI: 10.3747/co.19.1091
PubMed: 23144584
PubMed Central: 3457887

Links to Exploration step

PMC:3457887

Le document en format XML

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<p>Primary adenocarcinoma of the oropharynx most often arises from the minor salivary glands, and primary squamous cell carcinoma is more commonly seen arising from the tongue. Few cases of adenocarcinoma not otherwise specified of the tongue have been reported in the literature, and none found on the dorsum of the tongue. Successful treatment strategies have therefore not been defined.</p>
<p>We report a case of adenocarcinoma located on the dorsum of the posterior one third of the tongue adjacent to the circumvallate papillae in a woman presenting with globus sensation and mild dysphagia. Treatment consisted of transoral laser excision and postoperative external-beam radiotherapy, resulting in disease-free survival at her 5-year follow-up. The goals of this report are to present a case of adenocarcinoma arising from the minor salivary gland located on the dorsum of the tongue, to discuss previous reports of similar cases, and to suggest that surgery with or without radiotherapy be used as the mainstay of treatment.</p>
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<given-names>B.A.</given-names>
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<degrees>PhD</degrees>
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<sup>*</sup>
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<surname>Louie</surname>
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<label>*</label>
University of Western Ontario, Schulich School of Medicine and Dentistry, London, ON.</aff>
<aff id="af2-conc-19-e358">
<label></label>
London Regional Cancer Program, Department of Radiation Oncology, London, ON.</aff>
<aff id="af3-conc-19-e358">
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London Health Sciences Centre, Department of Pathology, London, ON.</aff>
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London Health Sciences Centre, Department of Otolaryngology–Head and Neck Surgery, London, ON.</aff>
<author-notes>
<corresp id="c1-conc-19-e358">Correspondence to: Varagur Venkatesan, London Regional Cancer Centre, Department of Radiation Oncology, 790 Commissioners Road East, London, Ontario N6A 4L6., E-mail:
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<month>10</month>
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<copyright-year>2012</copyright-year>
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<abstract>
<p>Primary adenocarcinoma of the oropharynx most often arises from the minor salivary glands, and primary squamous cell carcinoma is more commonly seen arising from the tongue. Few cases of adenocarcinoma not otherwise specified of the tongue have been reported in the literature, and none found on the dorsum of the tongue. Successful treatment strategies have therefore not been defined.</p>
<p>We report a case of adenocarcinoma located on the dorsum of the posterior one third of the tongue adjacent to the circumvallate papillae in a woman presenting with globus sensation and mild dysphagia. Treatment consisted of transoral laser excision and postoperative external-beam radiotherapy, resulting in disease-free survival at her 5-year follow-up. The goals of this report are to present a case of adenocarcinoma arising from the minor salivary gland located on the dorsum of the tongue, to discuss previous reports of similar cases, and to suggest that surgery with or without radiotherapy be used as the mainstay of treatment.</p>
</abstract>
<kwd-group>
<kwd>Adenocarcinoma</kwd>
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