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| Physical Exam | 05/10/XX |
Hoarseness; difficulty breathing for two weeks. No apparent lymphadenopathy. |
| X-Rays & Scans | 05/10/XX |
Upper GI: apparent mass extending to esophagus, otherwise unremarkable. |
| 05/10/XX | CXR: Lungs are clear. No evidence of disease. | |
| Scopes | 05/10/XX | Direct laryngoscopy and biopsy of laryngeal mass. Findings: fungating mass on right posterior aryepiglottic fold, arytenoid cartilage and anterior half of esophageal inlet. |
| 05/17/XX | Total laryngectomy with bilateral neck dissection. | |
| Laboratory |
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None |
| Operative Findings | 05/17/XX | No obvious residual unresected tumor. |
| Pathological Reports | 05/10/XX |
Biopsy of supraglottic mass: Squamous cell carcinoma with areas of necrosis. |
| 05/17/XX | Total laryngectomy: squamous cell carcinoma, moderately differentiated, penetrates esophagus approximately 2 cm, 0/39 right and left lymph nodes positive. | |
| Treatment | 05/17/XX |
Surgery: Total laryngectomy and bilateral neck dissection |
| 06/29/XX | Radiation: began IMRT 63 Gy to head and neck | |
