Tibial Metastasis from Primary Carcinoma Tongue in a Young Male: A Case Report

We report a case of a young male with Carcinoma right lateral border of tongue, cT3N1Mx, post-surgery post adjuvant chemo-radiation. Following a Disease-free interval of 15 months, he developed pain in the left knee region for which he was evaluated with MRI and then biopsy which was conclusive of a Metastatic squamous cell carcinoma from the tongue primary. Workup for the Chest, Abdomen and Pelvis did not show any other metastatic disease. He further underwent palliative radiotherapy for pain at the local site and is being further planned for palliative chemotherapy. In this case report, we discuss the rarity of such presentations, possible high-risk factors, present and future implications in the follow-up of such high-risk cases of Head and Neck Squamous Cell Carcinomas, especially in the younger population.