a male patient 86 yrs old complaining hypertensive BP 180/100 complaining of dysphagia Dysarthria unable to swallow solid food but not liquid. on examination- throat-a huge swelling communicating with left sided tonsils with dotted follicular yellowish material. kindly give differential diagnosis and suggest treatment. no other symptoms observed.

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Case of carcinoma oropharynx Get biopsy done Most probably squamous cell carcinoma Get work up like cect neck from base of skull to clavicle Chest x ray Usg abdomen Do TNM staging Treatment is chemoradiation Radiation dosage: 66 to 70 Gy in 33 to 35 fractions, five fractions a week along with weekly cisplatinum 50mg

it looks like malignancy, work up include EUA (examination under anesthesia) and biopsy from LESION. IF biopsy positive for malignancy then do CT PNS & NECK with contrast. then treat according to stage.

most likely a case of scc rt. tonsil. next step in management is a biopsy. if biopsy is positive get a cect neck and chest and a usg abdomen for systemic staging. depending on the stage decide treatment based on nccn guidelines

looks like tonsillar carcinoma ..take biopsy ..do MRI to stage the disease..not need of chest or abdomen imaging....if presence of node..stage would be 3 and above..then will need Chemoradiation...but if no odes then this is stage 2..will suffice with radiation..anyways he is 86 year old..will not be given chemo ....go ahead with radiation if general condition of patient is fair

This looks like a purulent Tonsillitis. Antibiotics and analgesics along with InD. But it has equal chances of CA. So before any experiments, Lymph node involvement should be checked, As biopsy can be difficult here, Go for CT scan first from base of skull to thoracic area then plan biopsy to correlate. Meanwhile get his cbc esr done.

CASE OF TONSILLAR MALIGNANCY. MAY BE CONFIRMED WITH FINE NEEDLE ASPIRATION CYTOLOGY OR SRAPE. LOOKING AT THE AGE PALLIATIVE AND SYMPOMATIC TREATMENT WILL BE BETTER THAN AGRESSIVE SURGERY OR CHEMORADIATION

the clinical scenario and the pictures are suggestive of CA tonsil. punch biopsy followed by cect neck. if localised to the tonsil, and if the pt is fit, partial pharyngectomy. if disseminated disease, then ideal treatment would be concurrent CT/RT

Pls do a CECT base of skull to thoracic inlet, consider for biopsy from the lesion

Looks like malignant growth of oropharynx , first physician reference for his high bp, then ct scan neck ; & biopsy of growth over tonsil & examination of his neck & axilla for any lymph node enlargement other

biopsy and investigation report are awaited.

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