Base of tongue (BOT) squamous cell carcinoma (SCCa)
Synonyms
Lingual tonsil SCCa
Definitions
Epithelial tumor in oropharyngeal (OP) tonsillar tissue at BOT
Extends from posterior 1/3 of tongue to valleculae
Distinct entity from oral tongue SCCa
IMAGING
General Features
CT Findings
MR Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Reporting Tips
Selected References
Windon MJ et al: Epidemiologic distinctions between base of tongue and tonsil oropharyngeal carcinomas. Head Neck. ePub, 2021
Glastonbury CM et al: Head and neck squamous cell cancer: approach to staging and surveillance. In: Hodler J et al: Diseases of the Brain, Head and Neck, Spine 2020-2023: Diagnostic Imaging. Springer, 2020
Parvathaneni U et al: Advances in diagnosis and multidisciplinary management of oropharyngeal squamous cell carcinoma: state of the art. Radiographics. 39(7):2055-68, 2019
Amin MB et al: AJCC Cancer Staging Manual. 8th ed. Springer, 2017
Fossum CC et al: Characterization of the oropharynx: anatomy, histology, immunology, squamous cell carcinoma and surgical resection. Histopathology. 70(7):1021-9, 2017
Taghipour M et al: Use of 18F-Fludeoxyglucose-positron emission tomography/computed tomography for patient management and outcome in oropharyngeal squamous cell carcinoma: a review. JAMA Otolaryngol Head Neck Surg. 1-7, 2015
Corey A: Pitfalls in the staging of cancer of the oropharyngeal squamous cell carcinoma. Neuroimaging Clin N Am. 23(1):47-66, 2013
Loevner LA et al: Transoral robotic surgery in head and neck cancer: what radiologists need to know about the cutting edge. Radiographics. 33(6):1759-79, 2013
Trotta BM et al: Oral cavity and oropharyngeal squamous cell cancer: key imaging findings for staging and treatment planning. Radiographics. 31(2):339-54, 2011
Ahmed M et al: The value of magnetic resonance imaging in target volume delineation of base of tongue tumours--a study using flexible surface coils. Radiother Oncol. 94(2):161-7, 2010
Attner P et al: The role of human papillomavirus in the increased incidence of base of tongue cancer. Int J Cancer. 126(12):2879-84, 2010
Budrukkar A et al: Squamous cell carcinoma of base of tongue in a patient with Fanconi's anemia treated with radiation therapy: case report and review of literature. Head Neck. 32(10):1422-7, 2010
Marur S et al: HPV-associated head and neck cancer: a virus-related cancer epidemic. Lancet Oncol. 11(8):781-9, 2010
Pederson AW et al: Chemoradiotherapy for locoregionally advanced squamous cell carcinoma of the base of tongue. Head Neck. 32(11):1519-27, 2010
Cianchetti M et al: Diagnostic evaluation of squamous cell carcinoma metastatic to cervical lymph nodes from an unknown head and neck primary site. Laryngoscope. 119(12):2348-54, 2009
Cohan DM et al: Oropharyngeal cancer: current understanding and management. Curr Opin Otolaryngol Head Neck Surg. 17(2):88-94, 2009
Cobo F et al: Review article: relationship of human papillomavirus with papillary squamous cell carcinoma of the upper aerodigestive tract: a review. Int J Surg Pathol. 16(2):127-36, 2008
Zima AJ et al: Magnetic resonance imaging of oropharyngeal cancer. Top Magn Reson Imaging. 18(4):237-42, 2007
Shiboski CH et al: Tongue and tonsil carcinoma: increasing trends in the U.S. population ages 20-44 years. Cancer. 103(9):1843-9, 2005
Gandhi D et al: Computed tomography perfusion of squamous cell carcinoma of the upper aerodigestive tract. Initial results. J Comput Assist Tomogr. 27(5):687-93, 2003
LoTempio MM et al: Treatment of advanced oropharyngeal cancers with chemotherapy and radiation. Ear Nose Throat J. 82(5):367-70, 2003
Pletcher SD et al: Management of cervical metastases in advanced squamous cell carcinoma of the base of tongue. Arch Otolaryngol Head Neck Surg. 129(9):983-6, 2003
Sessions DG et al: Analysis of treatment results for base of tongue cancer. Laryngoscope. 113(7):1252-61, 2003
Parsons JT et al: Squamous cell carcinoma of the oropharynx: surgery, radiation therapy, or both. Cancer. 94(11):2967-80, 2002
Kuriakose MA et al: Tumour volume estimated by computed tomography as a predictive factor in carcinoma of the tongue. Br J Oral Maxillofac Surg. 38(5):460-5, 2000
Brunin F et al: Cancer of the base of the tongue: past and future. Head Neck. 21(8):751-9, 1999
Moharir VM et al: Computer-assisted three-dimensional reconstruction of head and neck tumors. Laryngoscope. 108(11 Pt 1):1592-8, 1998
Mukherji SK et al: Squamous cell carcinoma of the oropharynx and oral cavity: how imaging makes a difference. Semin Ultrasound CT MR. 19(6):463-75, 1998
Mukherji SK et al: Squamous cell carcinomas that arise in the oral cavity and tongue base: can CT help predict perineural or vascular invasion? Radiology. 198(1):157-62, 1996
Sigal R et al: CT and MR imaging of squamous cell carcinoma of the tongue and floor of the mouth. Radiographics. 16(4):787-810, 1996
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
TERMINOLOGY
Abbreviations
Base of tongue (BOT) squamous cell carcinoma (SCCa)
Synonyms
Lingual tonsil SCCa
Definitions
Epithelial tumor in oropharyngeal (OP) tonsillar tissue at BOT
Extends from posterior 1/3 of tongue to valleculae
Distinct entity from oral tongue SCCa
IMAGING
General Features
CT Findings
MR Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Reporting Tips
Selected References
Windon MJ et al: Epidemiologic distinctions between base of tongue and tonsil oropharyngeal carcinomas. Head Neck. ePub, 2021
Glastonbury CM et al: Head and neck squamous cell cancer: approach to staging and surveillance. In: Hodler J et al: Diseases of the Brain, Head and Neck, Spine 2020-2023: Diagnostic Imaging. Springer, 2020
Parvathaneni U et al: Advances in diagnosis and multidisciplinary management of oropharyngeal squamous cell carcinoma: state of the art. Radiographics. 39(7):2055-68, 2019
Amin MB et al: AJCC Cancer Staging Manual. 8th ed. Springer, 2017
Fossum CC et al: Characterization of the oropharynx: anatomy, histology, immunology, squamous cell carcinoma and surgical resection. Histopathology. 70(7):1021-9, 2017
Taghipour M et al: Use of 18F-Fludeoxyglucose-positron emission tomography/computed tomography for patient management and outcome in oropharyngeal squamous cell carcinoma: a review. JAMA Otolaryngol Head Neck Surg. 1-7, 2015
Corey A: Pitfalls in the staging of cancer of the oropharyngeal squamous cell carcinoma. Neuroimaging Clin N Am. 23(1):47-66, 2013
Loevner LA et al: Transoral robotic surgery in head and neck cancer: what radiologists need to know about the cutting edge. Radiographics. 33(6):1759-79, 2013
Trotta BM et al: Oral cavity and oropharyngeal squamous cell cancer: key imaging findings for staging and treatment planning. Radiographics. 31(2):339-54, 2011
Ahmed M et al: The value of magnetic resonance imaging in target volume delineation of base of tongue tumours--a study using flexible surface coils. Radiother Oncol. 94(2):161-7, 2010
Attner P et al: The role of human papillomavirus in the increased incidence of base of tongue cancer. Int J Cancer. 126(12):2879-84, 2010
Budrukkar A et al: Squamous cell carcinoma of base of tongue in a patient with Fanconi's anemia treated with radiation therapy: case report and review of literature. Head Neck. 32(10):1422-7, 2010
Marur S et al: HPV-associated head and neck cancer: a virus-related cancer epidemic. Lancet Oncol. 11(8):781-9, 2010
Pederson AW et al: Chemoradiotherapy for locoregionally advanced squamous cell carcinoma of the base of tongue. Head Neck. 32(11):1519-27, 2010
Cianchetti M et al: Diagnostic evaluation of squamous cell carcinoma metastatic to cervical lymph nodes from an unknown head and neck primary site. Laryngoscope. 119(12):2348-54, 2009
Cohan DM et al: Oropharyngeal cancer: current understanding and management. Curr Opin Otolaryngol Head Neck Surg. 17(2):88-94, 2009
Cobo F et al: Review article: relationship of human papillomavirus with papillary squamous cell carcinoma of the upper aerodigestive tract: a review. Int J Surg Pathol. 16(2):127-36, 2008
Zima AJ et al: Magnetic resonance imaging of oropharyngeal cancer. Top Magn Reson Imaging. 18(4):237-42, 2007
Shiboski CH et al: Tongue and tonsil carcinoma: increasing trends in the U.S. population ages 20-44 years. Cancer. 103(9):1843-9, 2005
Gandhi D et al: Computed tomography perfusion of squamous cell carcinoma of the upper aerodigestive tract. Initial results. J Comput Assist Tomogr. 27(5):687-93, 2003
LoTempio MM et al: Treatment of advanced oropharyngeal cancers with chemotherapy and radiation. Ear Nose Throat J. 82(5):367-70, 2003
Pletcher SD et al: Management of cervical metastases in advanced squamous cell carcinoma of the base of tongue. Arch Otolaryngol Head Neck Surg. 129(9):983-6, 2003
Sessions DG et al: Analysis of treatment results for base of tongue cancer. Laryngoscope. 113(7):1252-61, 2003
Parsons JT et al: Squamous cell carcinoma of the oropharynx: surgery, radiation therapy, or both. Cancer. 94(11):2967-80, 2002
Kuriakose MA et al: Tumour volume estimated by computed tomography as a predictive factor in carcinoma of the tongue. Br J Oral Maxillofac Surg. 38(5):460-5, 2000
Brunin F et al: Cancer of the base of the tongue: past and future. Head Neck. 21(8):751-9, 1999
Moharir VM et al: Computer-assisted three-dimensional reconstruction of head and neck tumors. Laryngoscope. 108(11 Pt 1):1592-8, 1998
Mukherji SK et al: Squamous cell carcinoma of the oropharynx and oral cavity: how imaging makes a difference. Semin Ultrasound CT MR. 19(6):463-75, 1998
Mukherji SK et al: Squamous cell carcinomas that arise in the oral cavity and tongue base: can CT help predict perineural or vascular invasion? Radiology. 198(1):157-62, 1996
Sigal R et al: CT and MR imaging of squamous cell carcinoma of the tongue and floor of the mouth. Radiographics. 16(4):787-810, 1996
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