Adenocarcinoma not otherwise specified on dorsum of tongue: case report and literature review

Tongue metastasis from a poorly differentiated urothelial carcinoma of the bladder

Chemotherapy may cause oral ulceration but a thorough investigation of symptoms and signs is important to determine the underlying diagnosis accurately. We describe a case of a patient with a poorly differentiated urothelial carcinoma of the bladder developing a tongue metastasis. This is a challenging diagnosis to make given the rarity of the presentation but it illustrates the need to evaluate any new symptoms fully.

The complexity of globus: a multidisciplinary perspective

Globus is a topic of interest for many specialties including otorhinolaryngology, gastroenterology and psychiatry/psychosomatic medicine, but, although many hypotheses have been suggested, key questions about its aetiology remain. This Review provides an overview of the extensive literature concerning this topic and discusses the quality of the evidence to date. Globus has been associated with oropharyngeal structural lesions, upper oesophageal sphincter disorders, oesophageal disorders, GERD, psychosocial factors and psychiatric comorbidity. However, findings are often contradictory and the literature remains highly inconclusive. Indeed, with the exception of patients with structural-based globus, the Rome III criteria for functional globus only apply to a subgroup of patients with idiopathic globus. In clinical reality, there exists a group of patients who present with idiopathic (nonstructural) globus, but nevertheless have dysphagia, odynophagia or GERD-exclusion criteria for globus diagnosis according to Rome III. The symptomatology of patients with globus might be broader than previously thought. It is therefore crucial to approach globus not from one single perspective, but from a multifactorial point of view, with focus on the coexistence and/or interactions of different mechanisms in globus pathogenesis. This approach could be translated to clinical practice by adopting a multidisciplinary method to patients presenting with globus.

Adenocarcinoma not otherwise specified or cribriform adenocarcinoma on dorsum of tongue?

Market Velker et al.1 recently reported an unusual case of adenocarcinoma arising from the minor salivary gland located on the dorsum of the posterior one third of the tongue in a 66-year-old woman.[...]

Response to "Adenocarcinoma not otherwise specified or cribriform adenocarcinoma on dorsum of tongue?"

We thank the writers of the letter to the editor titled “Adenocarcinoma not otherwise specified or cribriform adenocarcinoma on dorsum of tongue?”[...]