When confronted with a tongue and neck mass in a child, a specific diagnosis can be difficult to make with a differential diagnosis often provided. Teratocarcinosarcoma of the tongue with metastases to the neck would be considered an extremely rare specific diagnosis to correctly make prospectively. This study presents the clinical appearance, as well as the CT, MRI, PET and pathologic findings in this rare entity. With this information and constellation of findings, it is believed that this rare entity should be included in the differential diagnosis.
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