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ENT: Oropharynx showed presence of granular lesion involving lateral aspect of uvula creeping towards edge of soft palate and onto posterior pillar on the left side. No lymphadenopathy.
CXR: Question of nodule in right lower lobe. CT Neck: questionable minimal soft tissue thickening without gross evidence of enhancement within the left lateral aspect of soft palate and uvula. No evidence of neck lymphadenopathy.
Direct laryngoscopy with biopsy of soft palate and uvula. Findings: granular lesion of soft palate appears to be involving uvula.
Excision of palatal carcinoma, tonsillectomy, palatal pharyngoplasty. Findings: Palatal carcinoma involving uvula extending along left edge of soft palate onto anterior and posterior pillar with no direct infiltration of tonsil.
Micro: Infiltrating moderately to poorly differentiated focally keratinizing squamous cell carcinoma arising from epithelium of uvula. Deep margins free. Epithelial margins negative. Tumor size 1.0 cm.
Surgery: Excision of palatal carcinoma, tonsillectomy, palatal pharyngoplasty.