PMC4592896_01
(a) Left ventral tongue lesion. (b) Oropharyngeal lesion located in the right superior tonsillar fossa.
CRIOT2015-508149.001.jpg
PMC4592896_01_CRIOT2015-508149.001.jpg
fig1
A 2 cm right buccal lesion and a 3 cm ventral tongue lesion were observed on inspection of the oral cavity (Figure 1(a)). The patient had similar 5 mm lobulated lesions located in the right posterior tongue and right superior tonsillar fossa (Figure 1(b)).
(a) Flexible laryngoscopy showing left laryngeal ventricle lesion. (b) Flexible laryngoscopy showing lesion of the tongue base.
CRIOT2015-508149.002.jpg
PMC4592896_01_CRIOT2015-508149.002.jpg
fig2
Nasal endoscopy further revealed a 5 mm lesion in his left nasopharynx, and flexible laryngoscopy showed a 3 mm lesion in the left laryngeal ventricle (Figure 2(a)) and a 1 cm lesion in the right tongue base (Figure 2(b)).
(a) Axial T2-weighted MRI demonstrating soft tissue masses with hyperintense signal of the left tongue and right submandibular triangle. (b) Coronal T2-weighted MRI demonstrating hyperintense lesions of the right suprahyoid posterior triangle and right supraclavicular fossa.
CRIOT2015-508149.003.jpg
PMC4592896_01_CRIOT2015-508149.003.jpg
fig3
Lesions were found in the thyroid gland, left floor of the mouth, right suprahyoid posterior triangle, right posterior submandibular triangle, right supraclavicular fossa, and right lateral chest wall and superficial to the right superior trapezius (Figures 3(a) and 3(b)).