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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 - PowerPoint PPT Presentation
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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• NATIVE
AMERICAN• SMOKER• ETOH HISTORY• 3 MONTH HISTORY
OF RIGHT LAT TONGUE LESION
LYMPHOSCINTIGRAPHY
• 2 CM ULCERATIVE / INDURATED R LAT ORAL TONGUE LESION
• OTHERWISE NL H & N EXAM
• NO PALPABLE ADENOPATHY
• RADIOLOGY:
LYMPHOSCINTIGRAPHY
• 58 YOWM
• SMOKER
• ETOH HISTORY
• 2 MONTH HISTORY OF RIGHT POSTERIOR/LATERAL TONGUE LESION
• OTALGIA
LYMPHOSCINTIGRAPHY
• 3 CM ULCERATIVE / INDURATED LESION EXTENDING POST TO THE CIRCUMVALLATE PAPILLAE
• OTHERWISE NL H& N EXAM• NO PALPABLE CERVICAL
LYMPHADENOPATHY
• RADIOLOGY:
LYMPHOSCINTIGRAPHY
• PRE-OP T2 N0 M0
• PRE-OP INJECTION AND GAMMA CAMERA SCAN
ADVANTAGES
• PRE-OP LOCALIZATION----DRAINAGE PATTERN RECOGNITION
• SLN IDENTIFIED FOR MORE ACCURATE PATH (SERIAL SECTIONS)
• CONFIRMATION OF REMOVAL OF ALL DRAINING NODES INTRAOPERATIVELY