mr mihai talos 59 yr old romanian man 29.9.04 wedge excision scc lower lip mr pham at joondalup...

Mr Mihai TALOSMr Mihai TALOS

59 yr old Romanian man59 yr old Romanian man

29.9.0429.9.04

Wedge excision SCC lower lip Mr Pham at Wedge excision SCC lower lip Mr Pham at JoondalupJoondalup

Path: Mod differentiated SCC infiltrating Path: Mod differentiated SCC infiltrating into muscle (8.5mm). No vascular, into muscle (8.5mm). No vascular, lymphatic or perineural infiltration. All lymphatic or perineural infiltration. All margins clear >4mmmargins clear >4mm

Mr Mihai TALOSMr Mihai TALOS

10.6.0510.6.05

Accidental trauma to chin with power Accidental trauma to chin with power saw. Fractured mandible and divided saw. Fractured mandible and divided marginal mandibular branchmarginal mandibular branch

Repair of mandible and primary Repair of mandible and primary neurorrhaphy.neurorrhaphy.

Incidental finding of right submental Incidental finding of right submental massmass

Mr Mihai TALOSMr Mihai TALOS

Never SmokerNever Smoker

No other significant medical historyNo other significant medical history

Examination findings:Examination findings:

No intra oral lesionsNo intra oral lesions

Right marginal nerve palsyRight marginal nerve palsy

3x3cm mobile mass submental triangle3x3cm mobile mass submental triangle

Mr Mihai TALOSMr Mihai TALOS

Investigations:Investigations:

FNA x2 – atypical squamous cellsFNA x2 – atypical squamous cells

CT neck/lungCT neck/lung

PET scanPET scan

Mr Mihai TALOSMr Mihai TALOS

Mr Mihai TALOSMr Mihai TALOS

Mr Mihai TALOSMr Mihai TALOS

Clinical stage IIIClinical stage III

T1 N1 M0T1 N1 M0

Consideration for RadiotherapyConsideration for Radiotherapy

Planned for surgery 23/08/05Planned for surgery 23/08/05