ONCOLOGY CONFERENCE

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ONCOLOGY CONFERENCE

• DANIEL TODD, M.D.
• ENT, P.C.

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43 YOWM

• 3 MONTH HISTORY OF CERVICAL LYMPHADENOPATHY
• NO TYPE B SYMPTOMS
• NO INFLAMMATORY SYMPTOMS
• SMOKER

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43 YOWM

• SMOKER
• STILL OWNS HIS TONSILS
• OTHERWISE NL HEAD AND NECK EXAM
• RADIOLOGY
• PATH (FNA)

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LYMPHOSCINTIGRAPHY

• 57 YOF
• NATIVE AMERICAN
• SMOKER
• ETOH HISTORY
• 3 MONTH HISTORY OF RIGHT LAT TONGUE LESION

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LYMPHOSCINTIGRAPHY

• 2 CM ULCERATIVE / INDURATED R LAT ORAL TONGUE
  LESION
• OTHERWISE NL H N EXAM
• NO PALPABLE ADENOPATHY
• RADIOLOGY

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LYMPHOSCINTIGRAPHY

• 58 YOWM
• SMOKER
• ETOH HISTORY
• 2 MONTH HISTORY OF RIGHT POSTERIOR/LATERAL TONGUE
  LESION
• OTALGIA

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LYMPHOSCINTIGRAPHY

• 3 CM ULCERATIVE / INDURATED LESION EXTENDING POST
  TO THE CIRCUMVALLATE PAPILLAE
• OTHERWISE NL H N EXAM
• NO PALPABLE CERVICAL LYMPHADENOPATHY
• RADIOLOGY

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LYMPHOSCINTIGRAPHY

• PRE-OP T2 N0 M0
• PRE-OP INJECTION AND GAMMA CAMERA SCAN

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ADVANTAGES

• PRE-OP LOCALIZATION----DRAINAGE PATTERN
  RECOGNITION
• SLN IDENTIFIED FOR MORE ACCURATE PATH (SERIAL
  SECTIONS)
• CONFIRMATION OF REMOVAL OF ALL DRAINING NODES
  INTRAOPERATIVELY

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