Concluded Case

Ca Oral Cavity with Local Mets

A male aged 54 years who is a chronic Tobacco Chewer since 30 plus years Chief Complaints Gradually enlarging mass left side of neck & below left ear Pain in mass Investigations CT Head & Neck

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Concluded answer

Advanced stage case of parotid malignancy with Large LN and lung metastasis. Mostly a difficult case for surgery. Can try a radical parotidectomy with extended radical neck dissection with a chemoradiotherapy. Needed. PET CT also required.

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Adenocarcinoma neck Swellings are big enough in post auricular area and lt side of neck in supraclavicular region As he is known c/o ca oral cavity these lesions seems to be fresh resurgence Adv fnac to decide METS or fresh lesions As line of treatment will be differing

Thanx dr Pushkar ji Bhomia
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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

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Advanced stage case of parotid malignancy with Large LN and lung metastasis. Mostly a difficult case for surgery. Can try a radical parotidectomy with extended radical neck dissection with a chemoradiotherapy. Needed. PET CT also required.

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SWELLING NECK .. ? PAROTID PATHOLOGY .. ? MALIGNANCY .. NEED'S.. HPE..STUDY ..

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Parotid cancer at high risk level. HPE. I think it's very difficult even for surgical removal. ONCO SURGEIONS CAN AWAIL THE SOLUTION

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Ct head& neck If you are suspecting Adeno carcinoma Biopsy hp ideal Pets can know primary Opinion of oncologist Chemotherapy Radiotherapy

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Has a FNAC/BIOPSY been performed. It is likely to be parotid malignancy. Needs adequate workup followed by total parotidectomy (if confirmed to be of parotid origin). Will need flap cover for skin defect and selective / modified neck dissection.

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Ca neck Secondaries FNc Oncologists openion

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Surgery + Radiotherapy +Chemotherapy

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Rule out tumor of swelling neck FNAC & Biopsy Parotid malignancy Surgery Opinion of Oncologist

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