High grade squamous dysplasia with foci of invasive squamous cell ca.

Difficulty in swallowing, Difficulty in deglutition Swelling right side of neck Hourseness of voice. Since 1 yrs Chief Complaints Poor oral intake Unable to talk Foul smell Generalized weakness History Chronic smoker,tobacco chewer, occasionally alcoholic No H/o DM,HTN,any surgery, thyroid Vitals BP-110/60 HR -88 Spo2- 98 Investigations Investigation are attached, Biopsy was done Diagnosis Squamous cell carcinoma Management Patient on medically conservative management Please advise further management

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SQUAMOUS cell carcinoma aryglotic fold Ie CA oesophagus and growth is in advanced stage as seen It also has leucocytosis ie secondary infection At this stage possible line could only be chemoradiotherapy If growth regresses than surgery can be advised Very poor prognosis

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? SCC .. NEED'S.. ONCOLOGISTS OPINION FOR FURTHER MANAGEMENT..

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Cxray shows upper tracheal narrowing. Changes of COPD emphysema. Grossly cauliflower like growth of squamous cell CA. Chemo radiation then surgical intervention.

N G tube feeding Antibiotics I v Surgery + chemotherapy + Radiotherapy Under observation of an Oncologist

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SUGGESTIVE. OF INVASIVE SQUAMOUS. CELL CARCINOMA... ...OESOPHAGUS..

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Looks ssc larynx Metastasis Opinion of onco Gastroenterology Pet scan Chemo radio stent in oesophagus

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Advanced case of SCC involving larynx and and surrounding structures. There may be metastasis to distant organs. Palliative treatment can be done. A palliative chemotherapy can be advised.

Radiation and chemotherapy Look advance lesions Involve the adjacent site vocal cord and recurrent laryngeal nerve cause horsing of voice

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