Abstract
A case of thyroid cancer in a patient who had a squamous cell carcinoma of the tongue and had been treated by radiotherapy was reported. A 40-year-old female patient who had pain on the left rim of her tongue in early July 1997 was referred to our department on July 9, 1998. She had no facial change, and a significant lymph node was not palpable on the cervical lymph node. A 10mm×12mm non-identical, painful tumor with cementation was found on the left side of the back of the tongue. Pathologically the tumor was diagnosed as a squamous cell carcinoma (T1N0M0) of the tongue by means of a tongue biopsy. Electron beam therapy was carried out three times (12Gy×3=36Gy) by the Department of Radiology and subsequently the lesion disappeared completely.
The progress of the patient was monitored and a tumor of 1 cm was found in the left thyroid upon palation of the cervical lymph node. The patient was referred to the Department of General Gastroenteriologic Surgery. The tumor was diagnosed as a papillary carcinoma by means of a cytological examination. CT showed a tumor of 1cm in diameter in the left lobe of the thyroid, but invasion around the tumor was not found. The thyroid left lobe was resected and conservative neck dissection was conducted under general anesthesia on October 13, 1998. The tumor was pathologically diagnosed as a papillary carcinoma. Progress has been good, with no recurrence in the oral and cervical regions.
