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Case #5

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Expand Physical Exam

07/28/XX

ENT: 1 cm lesion, midline, on undersurface of tongue anterior to frenulum. Right moderate submandibular adenopathy.

Expand X-Rays & Scans

07/28/XX

CT chest negative for abnormalities.

Expand Scopes

Non-contributory.

Expand Laboratory

None.

Expand Operative Findings

07/28/XX

No unusual findings.

Expand Pathological Reports

08/08/XX

Adenoid cystic carcinoma, moderately differentiated, with metastases to two submandibular lymph nodes each LN less than 3 cm in size.

Expand Treatment

08/08/XX

Wide resection, floor of mouth and anterior tongue. Excision, submandibular lymph nodes.

09/05/XX

Radiation: 4000 rads to bilateral cervical lymph nodes.