Case #2

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Expand Physical Exam


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.

Expand X-Rays & Scans


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.

Expand Scopes


Direct laryngoscopy with biopsy of soft palate and uvula. Findings: granular lesion of soft palate appears to be involving uvula.

Expand Laboratory


Expand Operative Findings


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.

Expand Pathological Reports


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.

Expand Treatment


Surgery: Excision of palatal carcinoma, tonsillectomy, palatal pharyngoplasty.