Concluded Case

What is further line of Action

Patient of 65 year old, No history of DM, HT, but Drinker diagnosed with SCC-K. Suggest further line of action DX RX.

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Squamous cell cA  Biopsy Confirmation  Evaluation for Metastasis  Further Treatment

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Sq.cell Ca

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SUGGESTIVE OF SQUAMOUS. CELL CARCINOMA..... . ...KERATINISING ADVISABLE 1. BIOPSY 2. C T. SCAN... 3. METICULOUS. EVALUATION. OF METASTASES..... 4. A) EXCISION...... MOHS. SURGERY B) NECK. DISSECTION.......IF. INDICATED.... C)......P. O. R. T AND. CONCURRENT. CHEMOTHERAPY........IF. SO. INDICATED 5. RECONSTRUCTION....

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From practical point of view. I don't know his kernofsky status ...without knowing his GCx predicting big OT procedure not the ideal..already maggots are there ..so long , neglected cases...don't know Hus cardiac and chest condition .I have doubt about PAC clearance ..only palliative sx could be offered

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Best supportive care...I don't think he will be eligible for any curative or even palliative onco directed therapy.

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Do metastatic work up of the patient. Consult and oncosurgeon and follow the advice.

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Squamous cell cA  Biopsy Confirmation  Evaluation for Metastasis  Further Treatment

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

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