 |
| Diagnosis: |
Squamous
cell carcinoma (SCC) of the tongue. T3N12M0 |
| Anamnesis: |
Pain
when eating in the past four weeks. Has had a lump in the right side
of the neck for three weeks. |
| Symptoms: |
|
| Status,
palpation: |
20
x 40 x 55 mm tumor on the right side of the tongue. Central when fitting
with a tooth. 20 x 30 mm hard node on the right side of the neck. |
| Image
1 |
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| Image
2 |
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| Cytology: |
FNA
of node: Metastatic growth of SCC. |
| Histology: |
Squamous
cell carcinoma. |
| Management: |
Block
resection of tumour in the floor of the mouth in conjunction with modified
neck dissection. Postop XRT 50 Gy. |
| Follow-up: |
First
year: Every second month. Second tear: Every fourth month. Third to fifth
years: Semi-annually. Prognosis: Five year survival rate 20 %. |
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