Unilateral tongue atrophy as the initial clinical manifestation in a patient with prostate cancer.

Key Clinical Message: Unilateral tongue atrophy can be a rare and crucial early indicator of metastatic prostate cancer, highlighting the need for vigilant monitoring in clinical assessments. This case underscores the importance of considering cranial nerve involvement, especially the twelfth, for timely intervention and comprehensive patient care.

Abstract: Prostate cancer, ranking among the most prevalent cancers, often manifests with skeletal metastases.