Tongue Squamous Cell Carcinoma in a Young Patient Free of Risk Factors: A Case Report

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Abdulrhman A. Abulaban
Lujain A. Khoja
Sara S. Baghlaf
Moataz M. Aldahlawi
Mahmoud S. Al-Ahwal


Carcinoma, Squamous cell, Tongue neoplasms, Leukoplakia


Tongue squamous cell carcinoma progresses from an oral premalignant lesion to invasive squamous cell carcinoma. The incidence of tongue carcinoma has been increasing markedly even in patients free of risk factors as the reporting case of a 22-years-old female complaining of small tender whitish discoloration over the left side of the tongue. First, there was a dilemma in the diagnosis taking in consideration that she is young and free of risk factor, but the magnetic resonance imaging of the head and neck showed a heterogenous mass in the tongue with deep muscular invasion. After the result of positron emission tomography-computed tomography, the patient underwent left hemiglossectomy with left supraomohyoid neck dissection and histopathology report showed invasive squamous cell carcinoma. Thus, she was referred for adjuvant radiotherapy. At this point, it emphasized that early recognition is essential; as an extensive history should be obtained from the patient that includes the symptoms emerged and risk factors.

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