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Daily practice: MRI
Male, 65 years
42 pack years
Recently extraction 48
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No healing
Examination:
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Tumor right gingival ridge
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2,5 x 3,5cm (T2)
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Invasion of mandible? (T4a)
Biopsy: Squamous cell carcinoma (SCC)
Radiological work-up
Chest X-ray: normal
US Neck:
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FNAC right neck Level I / II
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Cytology report: no malignant cells
Panoramic dental X-ray
MRI
T1
T2
T1 + C + FS
Multidisciplinary H&N meeting
T4aN0 right gingival carcinoma
Treatment
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Segmental mandibular resection
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Neck dissection level I-III
Path report
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Tumor excision: radical
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Neck dissection level I-III: no lymph node mets
Conclusion
:
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pT4aN0M0
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Clinical follow-up (no post-operative RT needed)
Objectives
Ultrasound
Panoramic dental X-ray
CT
MRI
Imaging work-up
CT, MR (PET etc.)
Frank Pameijer, MD, PhD
o
Departmentsof Radiology and Radiation Oncology
o
University Medical Center, Utrecht
o
The Netherlands
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