mr wb 81 year old man, lives with wife referred to plas opc for left neck mass phx
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Mr WBMr WB 81 year old man, lives with wife81 year old man, lives with wife referred to Plas OPC for left neck massreferred to Plas OPC for left neck mass
PHxPHx low grade pancreatic neuroendocrine tumourlow grade pancreatic neuroendocrine tumour
attemptedWhipple’s resection 3/01- abandoned due to attemptedWhipple’s resection 3/01- abandoned due to bleedingbleeding
2 further laparotomies2 further laparotomies inpatient for 60daysinpatient for 60days
absence seizures since 1990absence seizures since 1990 ex smoker stopped 1972ex smoker stopped 1972
4.3mm Level 5 melanoma excised Lt cheek 4.3mm Level 5 melanoma excised Lt cheek Aug 02 - 1mm marginAug 02 - 1mm margin
wide local excision and local flap 1/12 laterwide local excision and local flap 1/12 later seen by dermatology 9/9/03 with 2 week seen by dermatology 9/9/03 with 2 week
history of rapidly enlarging nodule left history of rapidly enlarging nodule left submandibular regionsubmandibular region
CT neck performedCT neck performed FNA performed but inadequate sample FNA performed but inadequate sample
obtainedobtained
On examination On examination visible left neck mass (zone II)visible left neck mass (zone II) 4cm hard nodule4cm hard nodule not attached to mandiblenot attached to mandible Facial, hypoglossal, mental nerve function normalFacial, hypoglossal, mental nerve function normal no other lesions notedno other lesions noted
Organised a repeat FNAOrganised a repeat FNA Booked for modified radical neck dissection Booked for modified radical neck dissection
30/0930/09
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