Bgrd: Female, 51yo, Chinese ancestry, married wth 2 children, not smoking/drinking.No history of betel nut intake.PS=0
History: tounge ulcer for~1 mth, went to see H&N surgeon in late Mar06
Diagnosis & treatment:H&N surgeon resected her ulcer & during surgery did excisional biopsy.Pathology returned with well-differentiated SCC.H&N surgeon performed more surgery to create clear margin.Pathology reported clear margins.Post-op MRI (3 d post) of H&N indicated no regional metastasis.No further treatment.
Mid Jun06 patient returned to surgeon with enlarged sub-mental LN. Surgeon performed FNAC.Pathology reported metastatic SCC. Surgeon ordered full-body PET Scan which revealed metabolic activities on her sub-mental LN, R lev 2 cervical LN & ambiguous activity on her L lev 2 LN.Patient seeks medical oncologist opinion & started 2 cycles of taxol/cisplatin/FU.Tumor responds within 1st cycle.No serious side-effects.
Q:should she undergo surgery again?Is her metastasis of iatrogenic origin?
2006-08-06
20:23:59
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5 answers
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asked by
Viroboy
1