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ONCOLOGY CONFERENCE

ONCOLOGY CONFERENCE. DANIEL TODD, M.D. ENT, P.C. 43 YOWM. 3 MONTH HISTORY OF CERVICAL LYMPHADENOPATHY NO TYPE B SYMPTOMS NO INFLAMMATORY SYMPTOMS SMOKER. 43 YOWM. SMOKER STILL OWNS HIS TONSILS OTHERWISE NL HEAD AND NECK EXAM RADIOLOGY PATH (FNA). LYMPHOSCINTIGRAPHY. 57 YOF

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ONCOLOGY CONFERENCE

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  1. ONCOLOGY CONFERENCE DANIEL TODD, M.D. ENT, P.C.

  2. 43 YOWM • 3 MONTH HISTORY OF CERVICAL LYMPHADENOPATHY • NO TYPE B SYMPTOMS • NO INFLAMMATORY SYMPTOMS • SMOKER

  3. 43 YOWM • SMOKER • STILL OWNS HIS TONSILS • OTHERWISE NL HEAD AND NECK EXAM • RADIOLOGY • PATH (FNA)

  4. LYMPHOSCINTIGRAPHY • 57 YOF • NATIVE AMERICAN • SMOKER • ETOH HISTORY • 3 MONTH HISTORY OF RIGHT LAT TONGUE LESION

  5. LYMPHOSCINTIGRAPHY • 2 CM ULCERATIVE / INDURATED R LAT ORAL TONGUE LESION • OTHERWISE NL H & N EXAM • NO PALPABLE ADENOPATHY • RADIOLOGY:

  6. LYMPHOSCINTIGRAPHY • 58 YOWM • SMOKER • ETOH HISTORY • 2 MONTH HISTORY OF RIGHT POSTERIOR/LATERAL TONGUE LESION • OTALGIA

  7. LYMPHOSCINTIGRAPHY • 3 CM ULCERATIVE / INDURATED LESION EXTENDING POST TO THE CIRCUMVALLATE PAPILLAE • OTHERWISE NL H& N EXAM • NO PALPABLE CERVICAL LYMPHADENOPATHY • RADIOLOGY:

  8. LYMPHOSCINTIGRAPHY • PRE-OP T2 N0 M0 • PRE-OP INJECTION AND GAMMA CAMERA SCAN

  9. ADVANTAGES • PRE-OP LOCALIZATION----DRAINAGE PATTERN RECOGNITION • SLN IDENTIFIED FOR MORE ACCURATE PATH (SERIAL SECTIONS) • CONFIRMATION OF REMOVAL OF ALL DRAINING NODES INTRAOPERATIVELY

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