STWS Home Module Home  Head and Neck: Case #5 Print

Physical Exam

07/28/XX

ENT: 1 cm lesion, midline, on undersurface of tongue anterior to frenulum. Right moderate submandibular adenopathy.

   
X-Rays & Scans

07/28/XX

CT chest negative for abnormalities.
   
Scopes

 

Non-contributory.
   
Laboratory   None.
   
Operative Findings

07/28/XX

No unusual findings.
   
Pathological Reports

08/08/XX

Adenoid cystic carcinoma, moderately differentiated, with metastases to two submandibular lymph nodes each LN less than 3 cm in size.

   
Treatment

08/08/XX

Wide resection, floor of mouth and anterior tongue. Excision, submandibular lymph nodes.
  09/05/XX Radiation: 4000 rads to bilateral cervical lymph nodes.

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