case 6 (tongue tumor)

7/27/2019 Case 6 (Tongue Tumor)

1/20

CASE REPORT

TONGUE TUMOR

I. IDENTITY

Name : Nn. S

Age : 28 years

Gender : Female

Jobs : Housewife

Address : Gunung Jati

Date of Entery : ! "une 2!#

II. ANAMNESIS (AUTOANAMNESIS)

The Main Complaint :

$atients %om&lain t'ere are bum&s on t'e tongue

A Hito!" o# The Dieae No$ :

$atients %om&lain t'ere are bum&s on t'e tongue sin%e two mont's

ago. At first lum& is small and does not feel &ain. (ut o)er time t'e lum& is

enlarged and &ainful swallowing. *om&laints of nausea+ )omiting+ fe)er+

s'ortness of breat'+ 'eada%'e denied by t'e &atient. $atient admitted t'at s'e

li,es to eat s&i%y-food and 'ot drin,s.$atient ne)er %om&lained of &ain li,et'is before. $atient is not a smo,er or al%o'oli%. $atients admitted 'a)e ast'ma

sin%e t'e age of years.

A Hito!" o# Pat Illne :

/'e &atient denied 'a)ing diabetes mellitus+ 'y&ertension+ and &atients

'a)e a 'istory of ast'ma.

A Hito!" o# %amil" Dieae :

/'e &atient admitted t'at in family ne)er e0&erien%ed anyt'ing li,et'is

1


2/20

III. PHYSICA& E'AMINATION

GENE1A S/A/3S

Awarness General : (eing Si%,

Awarness : *om&os mentis

4ital Sign : /D : !56! mmHg

$ : 87 05minutes

S : #6o*

1 : 2 05 minutes

Head : Normo%e&'al

eyes : 9on"ungti)a anemis -5-

S,lera i,teri, -5-

$u&il refle0 -5-

Ne%, : /'yroid not &al&able enlarged

ym&' nodes not &al&able enlarged

/'ora,s :

*or : i,tus %ordis is not )isible

$: i,tus %ordis &al&able on *S 4 line mid%la)i,ula

$: %ardia% borders easily assessed

A: (J regular -+ murmurs ;-


3/20

E0tremity. :

eft 1ig't Su&erior: edema ;-


4/20

?$4 6. 6.!-.!

$*/ !.2!2 !.2!!-!.!

$@ 2.7 !.!-8.!

(/ : 2#!

*/ : ##!

9gds : 87 mg5dl

ED : ! um5"am

3reum. : 28+! mg5dl

9reatinin. : !+7 mg5dl

Ront1en Tho!a4 Photo:

$'oto asymmetri% and la%,ing ins&iration

*ast does not a&&ear enlarged+ sinuses and normal dia&'ragm

$ulmo: in%reased mar,s of &ulmonary

Soft tissue does not seem &at%'es

m&ression: /'ere does not a&&ear a%ti)e &ulmonary /(

/'ere does not a&&ear %ardiomegali

. DIAGNOSIS 5ANDING

. /ongue /umor

2. /ongue *arsinoma

#. Hemangioma

II. DIAGNOSIS 6ER7A

/ongue /umor

III. PENATA&A6SANAAN

4


5/20

?edi,amentosa :

. *efta=olin #

2. 9etorola% #

#. 1anitidin #

Surgesion

I. PROGNOSIS

Ad 4itam : Dubia ad bonam

Ad Fun%tionam : Dubia ad bonam

Ad Stasionam : Dubia ad bonam

Cae P!eentation

Ton1e tmo!

/. Anatom"

5


6/20

/'e tongue is basi%ally a mass of mus%le t'at is almost %om&letely %o)ered bya mu%ous membrane. t o%%u&ies most of t'e oral %a)ity and oro&'aryn0. t is

,nown for its role in taste+ but it also assists wit' masti%ation ;%'ewing


7/20

/./ &in1al papillae

/'e surfa%e of t'e body of t'e tongue deri)es its %'ara%teristi% a&&earan%e

from t'e &resen%e of lingual &a&illae+ w'i%' are &ro"e%tions of lamina

&ro&ria %o)ered wit' e&it'elium.2K /'ere are ty&es of lingual &a&illae:

)allate ;%ir%um)allate>+ w'i%'

results in t'e release of an un,nown neurotransmitter.

From t'ere+ t'e neural &at'way de&ends on t'e lo%ation of t'e taste budt'at was stimulated. n t'e anterior two t'irds of t'e tongue+ t'e %'orda

tym&ani bran%' of t'e fa%ial ner)e ;%ranial ner)e 4< is stimulated. /'e

lingual-tonsillar bran%' of t'e glosso&'aryngeal ner)e ;%ranial ner)e

case 6 (tongue tumor)

Documents