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Histopathology:Right posterior tonsillo-lingual sulcus biopsy:Gross:
Received multiple greyish white soft tissue pieces together measuring 1.5X1.05 cm. All blocked in
BX1104A/20.Micro: section from right posterior tonsillo-lingual sulcus biopsy shows multiple fragments of tissues malignant tumor arranged in sheets, nest & islands of large polyhedral cells with pleomorphic & hyperchromatic nuclei with prominent nucleoli. Individual cell keratinisation & occasional keratin pearls present. Mitotically active bizarre forms seen.Opinion:well differentiated squamous cell carcinoma right posterior tonsillo-lingual sulcus biopsy.CT scan:
CECT NECT & CT- CHEST WITHOUT IV CONTRAST: Heterogenously enhancing mass lesion in the right posterior base of tongue & tonsiller fossa with relations and extentions and right cervical lymphadenopathy as described.Left upper lobe collapse with fibro atelectatic and calcific changes in bilateral lungs. Small 4X3mm nodule in postier basal segment of lower lobe.
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There is presence of cancer here . This should be discussed in tumor board between surgical oncologist, radiation oncolgist and medical oncologist to form proper line of management
Treatment is surgery versus chemoradiation
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other blood tests are needed : cbc, lft, kft and treatment initiation
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.