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7/27/2019 Case 6 (Tongue Tumor)
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CASE REPORT
TONGUE TUMOR
I. IDENTITY
Name : Nn. S
Age : 28 years
Gender : Female
Jobs : Housewife
Address : Gunung Jati
Date of Entery : ! "une 2!#
II. ANAMNESIS (AUTOANAMNESIS)
The Main Complaint :
$atients %om&lain t'ere are bum&s on t'e tongue
A Hito!" o# The Dieae No$ :
$atients %om&lain t'ere are bum&s on t'e tongue sin%e two mont's
ago. At first lum& is small and does not feel &ain. (ut o)er time t'e lum& is
enlarged and &ainful swallowing. *om&laints of nausea+ )omiting+ fe)er+
s'ortness of breat'+ 'eada%'e denied by t'e &atient. $atient admitted t'at s'e
li,es to eat s&i%y-food and 'ot drin,s.$atient ne)er %om&lained of &ain li,et'is before. $atient is not a smo,er or al%o'oli%. $atients admitted 'a)e ast'ma
sin%e t'e age of years.
A Hito!" o# Pat Illne :
/'e &atient denied 'a)ing diabetes mellitus+ 'y&ertension+ and &atients
'a)e a 'istory of ast'ma.
A Hito!" o# %amil" Dieae :
/'e &atient admitted t'at in family ne)er e0&erien%ed anyt'ing li,et'is
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III. PHYSICA& E'AMINATION
GENE1A S/A/3S
Awarness General : (eing Si%,
Awarness : *om&os mentis
4ital Sign : /D : !56! mmHg
$ : 87 05minutes
S : #6o*
1 : 2 05 minutes
Head : Normo%e&'al
eyes : 9on"ungti)a anemis -5-
S,lera i,teri, -5-
$u&il refle0 -5-
Ne%, : /'yroid not &al&able enlarged
ym&' nodes not &al&able enlarged
/'ora,s :
*or : i,tus %ordis is not )isible
$: i,tus %ordis &al&able on *S 4 line mid%la)i,ula
$: %ardia% borders easily assessed
A: (J regular -+ murmurs ;-
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E0tremity. :
eft 1ig't Su&erior: edema ;-
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?$4 6. 6.!-.!
$*/ !.2!2 !.2!!-!.!
$@ 2.7 !.!-8.!
(/ : 2#!
*/ : ##!
9gds : 87 mg5dl
ED : ! um5"am
3reum. : 28+! mg5dl
9reatinin. : !+7 mg5dl
Ront1en Tho!a4 Photo:
$'oto asymmetri% and la%,ing ins&iration
*ast does not a&&ear enlarged+ sinuses and normal dia&'ragm
$ulmo: in%reased mar,s of &ulmonary
Soft tissue does not seem &at%'es
m&ression: /'ere does not a&&ear a%ti)e &ulmonary /(
/'ere does not a&&ear %ardiomegali
. DIAGNOSIS 5ANDING
. /ongue /umor
2. /ongue *arsinoma
#. Hemangioma
II. DIAGNOSIS 6ER7A
/ongue /umor
III. PENATA&A6SANAAN
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?edi,amentosa :
. *efta=olin #
2. 9etorola% #
#. 1anitidin #
Surgesion
I. PROGNOSIS
Ad 4itam : Dubia ad bonam
Ad Fun%tionam : Dubia ad bonam
Ad Stasionam : Dubia ad bonam
Cae P!eentation
Ton1e tmo!
/. Anatom"
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/'e tongue is basi%ally a mass of mus%le t'at is almost %om&letely %o)ered bya mu%ous membrane. t o%%u&ies most of t'e oral %a)ity and oro&'aryn0. t is
,nown for its role in taste+ but it also assists wit' masti%ation ;%'ewing
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/./ &in1al papillae
/'e surfa%e of t'e body of t'e tongue deri)es its %'ara%teristi% a&&earan%e
from t'e &resen%e of lingual &a&illae+ w'i%' are &ro"e%tions of lamina
&ro&ria %o)ered wit' e&it'elium.2K /'ere are ty&es of lingual &a&illae:
)allate ;%ir%um)allate>+ w'i%'
results in t'e release of an un,nown neurotransmitter.
From t'ere+ t'e neural &at'way de&ends on t'e lo%ation of t'e taste budt'at was stimulated. n t'e anterior two t'irds of t'e tongue+ t'e %'orda
tym&ani bran%' of t'e fa%ial ner)e ;%ranial ner)e 4< is stimulated. /'e
lingual-tonsillar bran%' of t'e glosso&'aryngeal ner)e ;%ranial ner)e