oncology conference daniel todd, m.d. ent, p.c.. 43 yowm 3 month history of cervical lymphadenopathy...
TRANSCRIPT
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:
ADVANTAGES
• PRE-OP LOCALIZATION----DRAINAGE PATTERN RECOGNITION
• SLN IDENTIFIED FOR MORE ACCURATE PATH (SERIAL SECTIONS)
• CONFIRMATION OF REMOVAL OF ALL DRAINING NODES INTRAOPERATIVELY