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Multiple cutaneous metastases from squamous cell carcinoma base of tongue: A very rare case report
Neeru Bedi1, Pardeep Garg2, Yashna Gupta1
1PG Student, Deptt of Radiotherapy, Guru Gobind Singh Medical College, Faridkot, Punjab, India.
2Assistant Professor, Deptt of Radiotherapy, Guru Gobind Singh Medical College, Faridkot, Punjab, India.

Article ID: Z01201612CI10020NB
doi:10.5348/ijcri-201602-CI-10020

Address correspondence to:
Dr. Neeru Bedi
Fardikot, Punjab
India, 151203

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How to cite this article
Bedi N, Garg P, Gupta Y. Multiple cutaneous metastases from squamous cell carcinoma base of tongue: A very rare case report. Int J Case Rep Images 2016;7(12):858–863.


Abstract
Introduction: Head and neck cancers metastasize mainly to lung, liver and bone. Cutaneous metastasis is rare in squamous cell carcinoma of head and neck (SCCHN).
Case Report: We encountered a 30-year-old male who initially presented with carcinoma base of tongue (cT4aN2bM0) disease in July 2013 and was treated with definitive radiotherapy at another hospital. He had complete response as evident by computed tomography scan in January and February 2014. He presented to us in March 2014 for further management. He was kept on regular follow-up. He developed multiple cutaneous lesions on neck, hand and abdomen in March 2015, which was initially treated as an infective pathology of skin. The skin lesions did not resolve. Cytological examination was done and it came out to be metastatic carcinomatous deposits.
Conclusion: Our case has highlighted that rarely there could be occurrence of skin metastases in cases of squamous cell carcinomas of head and neck.

Keywords: Base of tongue, Cutaneous, Head and neck cancers, Metastasis


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Author Contributions
Neeru Bedi – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published
Pardeep Garg – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Yashna Gupta – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Neeru Bedi et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.