Oncology conference
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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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Oncology conference

ONCOLOGY CONFERENCE

DANIEL TODD, M.D.

ENT, P.C.


43 yowm

43 YOWM

  • 3 MONTH HISTORY OF CERVICAL LYMPHADENOPATHY

  • NO TYPE B SYMPTOMS

  • NO INFLAMMATORY SYMPTOMS

  • SMOKER


43 yowm1

43 YOWM

  • SMOKER

  • STILL OWNS HIS TONSILS

  • OTHERWISE NL HEAD AND NECK EXAM

  • RADIOLOGY

  • PATH (FNA)


Lymphoscintigraphy

LYMPHOSCINTIGRAPHY

  • 57 YOF

  • NATIVE AMERICAN

  • SMOKER

  • ETOH HISTORY

  • 3 MONTH HISTORY OF RIGHT LAT TONGUE LESION


Lymphoscintigraphy1

LYMPHOSCINTIGRAPHY

  • 2 CM ULCERATIVE / INDURATED R LAT ORAL TONGUE LESION

  • OTHERWISE NL H & N EXAM

  • NO PALPABLE ADENOPATHY

  • RADIOLOGY:


Lymphoscintigraphy2

LYMPHOSCINTIGRAPHY

  • 58 YOWM

  • SMOKER

  • ETOH HISTORY

  • 2 MONTH HISTORY OF RIGHT POSTERIOR/LATERAL TONGUE LESION

  • OTALGIA


Lymphoscintigraphy3

LYMPHOSCINTIGRAPHY

  • 3 CM ULCERATIVE / INDURATED LESION EXTENDING POST TO THE CIRCUMVALLATE PAPILLAE

  • OTHERWISE NL H& N EXAM

  • NO PALPABLE CERVICAL LYMPHADENOPATHY

  • RADIOLOGY:


Lymphoscintigraphy4

LYMPHOSCINTIGRAPHY

  • PRE-OP T2 N0 M0

  • PRE-OP INJECTION AND GAMMA CAMERA SCAN


Advantages

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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