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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

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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