2001 Volume 13 Issue 2 Pages 195-201
This case was an 11-year old child with a chief complaint of earache whose symptons had not improved despite a treatment at a nearby clinic. He was referred to our department for a treatment of his tongue tumor. The lesion presented an ulcerative picture with an irregular surface traversing the floor of the mouth and accompanied in duration extending beyond the median sulcus of the tongue . A biopsy revealed a highly differentiated squamous cell carcinoma . The disease staging at admission was diagnosed as T4N0M0 stage IV from the results of a general examination, including those of imaging diagnosis. The tumor responded slightly to two courses of chemotherapy (5-Fluolouracil and Cisplatin) and appeared to be reduced. However, it expanded to bilateral tonsil fossa even during external irradiation . The patient died 10 months after his first visit without showing response to intra-arterial chemotherapy administered three times.
