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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Malignant Lesion In The Right Posterior Buccal Mucosa

Hi Sirs Need a suggestion for possible best treatment for the below Biopsy Report and Head n Neck CT Scan Report of My Father. ========================Biopsy Conclusion ======================================== Nature of material Received : Right lower bucco alveolar sulcus(BAS) mucosa biopsy. Gross Description : Received multiple grey white tissue bits aggregating to 1.0 X 0.5 X 0.2 cms. Submitted entirely. Impression : Poorly differentiated squamous cell carcinoma, right lowerbucco alveolar sulcus(BAS) mucosa biopsy. ========================================CT SCAN of Head n Neck ======================= Clinical Profile : CA Right lower GB Sulcus. Technique: MDCT imaging was performed using thin axial plain and post contrast scan of from skull base to lung bases. Findings: There us e/o 32 X 27 X 12 mm (AP-CC-Thickness) enhancing lesion is seen in the right posterior buccal mucosa involving the lower GB sulcus and extending from 1st molar to 3rd molar region. The lesion focally involves the skin. No erosion of underlying mandible is seen. height of mandible below the soft tissue is 20 mm. Upper BG sulcus. RMT and infratemporal fossa appear normal. no evidance of lymphadenopathy on either of neck. oral cavity is normal. oral tongue, base of tongue and floor of mouth is normal. Nasopharynx, oropharynx and hypopharynx are normal. larynx is normal. Both side submandibular and parotid glands are normal. Bilateral maxillary sinus polyps are seen. Rest paranasal sinuses and both orbits are normal. Major neck vessels are normal. No significant abnormality is seen thyroid gland. Screening for thorax revealed no focal lesion or significant mediastinal lymphadenopathy. Diffuse emphysematous changes are seen in lungs. Comments : Finding suggest malignant lesion in the right posterior buccal mucosa involving the lower GB sulcus and extending from 1st molar to third molar region and focally involving the skin. No significant cervical lymphadenopathy. Bilateral maxillary sinus polyps. Screening for thorax revealed no focal lesion or significant mediastinal lymphadenopathy. Diffuse emphysematous changes are seen in lungs. Highly appreciate for any suggestion or treatment. Thank you so much in advance. Best Regards Laxman Odedra.
Tue, 12 May 2015
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Radiologist,  's  Response
Hi,
Thanks for writing in.

The CT scan report above shows that there is a possibly malignant lesion in the right cheek in the area between gums and cheek from the first to third molar teeth. It measures 32 x 27 x 12 mm and is seen to be localized. No lymphnode spread is seen. This shows that the cancer is still locally present and not causing any spread. The polyps in sinus and lung changes are not significant.

With the above findings you should consult a head and neck oncologist and discuss is surgery is possible as the tumor is slightly larger. Treatment of this cancer involves surgery if possible and then followed by chemotherapy and radiation therapy. There is a good chance of treatment and survival for more than 5 years. He must stop tobacco and any other habits. Regular follow up with your doctor is required. Please do not worry.
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Suggest Treatment For Malignant Lesion In The Right Posterior Buccal Mucosa

Hi, Thanks for writing in. The CT scan report above shows that there is a possibly malignant lesion in the right cheek in the area between gums and cheek from the first to third molar teeth. It measures 32 x 27 x 12 mm and is seen to be localized. No lymphnode spread is seen. This shows that the cancer is still locally present and not causing any spread. The polyps in sinus and lung changes are not significant. With the above findings you should consult a head and neck oncologist and discuss is surgery is possible as the tumor is slightly larger. Treatment of this cancer involves surgery if possible and then followed by chemotherapy and radiation therapy. There is a good chance of treatment and survival for more than 5 years. He must stop tobacco and any other habits. Regular follow up with your doctor is required. Please do not worry.