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ENT: 1 cm lesion, midline, on undersurface of tongue anterior to frenulum. Right moderate submandibular adenopathy.
CT chest negative for abnormalities.
No unusual findings.
Adenoid cystic carcinoma, moderately differentiated, with metastases to two submandibular lymph nodes each LN less than 3 cm in size.
Wide resection, floor of mouth and anterior tongue. Excision, submandibular lymph nodes.
Radiation: 4000 rads to bilateral cervical lymph nodes.