The tongue: an unusual site for esophageal adenocarcinoma metastasis diagnosed with EUS-guided FNA

Abstract

Esophageal adenocarcinoma is the most common esophageal malignancy of the western world. We report a 59-year-old white man with underlying metastatic esophageal adenocarcinoma who experienced odynophagia with pain localized to the tongue and change in his ability to form words while receiving palliative chemotherapy. In the ear, nose, and throat (ENT) department, the patient received a diagnosis of a palpable mass in the tongue with central friable umblicated ulcer (A, B). Examination of an initial biopsy specimen taken by the ENT physician was nondiagnostic.