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