Case Series
 
Ultrasound imaging of tongue malignancy
Margaret Eseza Kisansa1, Savvas Andronikou2
1MB ChB, M Med Rad Diagnostics, Radiologist, Department of Diagnostic Radiology and Imaging, Sefako Makgatho Health Sciences University, Gauteng, South Africa.
2MBBCh, FCRad, FRCR, PhD, Radiologist, Department of Diagnostic Radiology and Imaging, Sefako Makgatho Health Sciences University, Gauteng, South Africa.

Article ID: Z01201701CS10080MK
doi:10.5348/ijcri-201701-CS-10080

Address correspondence to:
Margaret Eseza Kisansa
Department of Diagnostic Radiology and Imaging
Sefako Makgatho Health Sciences University
PO Box 63, Medunsa, 0204
South Africa

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How to cite this article
Kisansa ME, Andronikou S. Ultrasound imaging of tongue malignancy. Int J Case Rep Images 2017;8(1):1–6.


Abstract
Introduction: Squamous cell carcinoma of the tongue is a common malignancy associated with risk factors like excessive alcohol consumption, heavy tobacco smoking and human papilloma virus. Magnetic resonance imaging (MRI) scan is considered to be the gold standard in investigating these tumors. However, MRI equipment is expensive to buy and is not readily available in some centers. Computed tomography scan has also been used in imaging these patients but this modality carries a radiation burden. Patient's five-year survival is dependent on early diagnosis. It is, therefore, important to diagnose early and image accurately to ensure good outcomes.
Case Series: Two male patients with confirmed carcinoma of the tongue are reported. The first patient was 65-year-old and the second patient was 40-year-old. They both presented with odynophagia. Clinical examination revealed ulcerating lesions involving the base of the tongue. Axial CT scans and ultrasound imaging were performed on these patients through the floor of the mouth. This case report focused on comparing the ability of the two modalities, in delineating margins and depicting tumor thickness.
Conclusion: Ultrasound gives excellent information with regards to tumor thickness, margins and vascularity. This highlights the value of using ultrasound as an additional tool in imaging of these patients especially in regions where CT and MRI scans are not readily available.

Keywords: Carcinoma, Tongue malignancy, Ultrasound, Ulcerating lesions


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Author Contributions:
Kisansa Margaret Eseza – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Andronikou Savvas – Analysis and interpretation 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
© 2017 Kisansa Margaret Eseza 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.



About The Authors

Margaret Eseza Kisansa is Head of Clinical Department at Diagnostic Radiology and Imaging, Sefako Makgatho Health Sciences University in Pretoria South Africa. She earned undergraduate degree (MB ChB) from Makerere University, Uganda and postgraduate degree (M Med Radiology Diagnostics) from Medical University of Southern Africa, MEDUNSA, Pretoria, South Africa. Her research interests include ultrasound, MRI.



Savvas Andronikou is Professor of Paediatric Radiology at Bristol University and Bristol Royal Hospital for Children in Bristol in the United Kingdom. He earned undergraduate degree (MBBCh) from the University of the Witwatersrand in Johannesburg South Africa and postgraduate degrees FCRad (Diag)(SA) from the College of Radiologists of South Africa, FRCR (Lond) from the Royal College of Radiology (United Kingdom) PhD (University of Cape Town, Cape Town, South Africa) and PhD (University of the Witwatersrand, Johannesburg, South Africa). He has published 171 Medline indexed and 86 alternatively indexed research papers in national and international academic journals and authored 11 books / chapters in books. His research interests include imaging of TB in children and imaging of hypoxic ischemic injury).