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Case Report
Lumbar spine metastasis from squamous cell carcinoma of tongue
1 Department of Neurosurgery, Neuroscience Institute, Hamad Medical Corporation, Doha, Qatar
2 Department of Clinical Academic Sciences, College of Medicine, Qatar University, Doha, Qatar
3 Department of Neurological Sciences, Weill Cornell Medicine, Doha, Qatar
4 Department of Histopathology, Hamad Medical Corporation, Doha, Qatar
Address correspondence to:
Arshad Ali
MBBS, MPH, Department of Neurosurgery, Neuroscience Institute, Hamad Medical Corporation, PO Box-3050, Doha,
Qatar
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Article ID: 101307Z01JI2022
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Iqbal J, Ali A, Al-Bozom I, Alyafei A. Lumbar spine metastasis from squamous cell carcinoma of tongue. Int J Case Rep Images 2022;13:101307Z01JI2022.ABSTRACT
Introduction: Squamous cell carcinoma (SCC) of tongue is among the commonest sites for oral cancers. It can cause significant morbidity due to local invasiveness but metastasize to lumbar spine with acute neurological deficits is extremely rare.
Case Report: We present a case of SCC of tongue that initially presented with acute back pain following exercise with no neurological deficits. Neuroradiological imaging showed compression fracture of L2 vertebra with no evidence of malignancy. One month later, he presented again with progressive lower limb weakness and radiological imaging revealed development of spinal metastatic disease with neural compression. Patients underwent an urgent lumbar spine decompression, fusion, and posterior instrumentation. Histopathology confirmed the diagnosis of metastasis from SCC of tongue and patient showed a good postoperative recovery.
Conclusion: Distant metastasis from SCC of tongue to lumbar spine is rare. A high index suspicion is warranted in patients presenting with spinal manifestations for early diagnosis to ensure a good neurological recovery.
Keywords: Carcinoma, FDG-PET/CT scan, Lumbar, Metastasis, Spine, Squamous cell, Tongue
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Author Contributions
Javeed Iqbal - Conception of the work, Design of the work, Acquisition of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Arshad Ali - Conception of the work, Design of the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Issam Al-Bozom - Acquisition of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Abdulnasser Alyafei - Conception of the work, Design of the work, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Javeed Iqbal 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.
