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Head & Neck Tumor Boards Department of Radiation Oncology.

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Presentation on theme: "Head & Neck Tumor Boards Department of Radiation Oncology."— Presentation transcript:

1 Head & Neck Tumor Boards Department of Radiation Oncology

2 Name/SexHistopathologic DiagnosisHistopathologyTreatmentPlan Nasopharynx – 4 cases MV 55/F Nasopharyngeal Carcinoma Stage IVB TxN3Mx Jose Reyes MC 1-8-2014 Poorly differentiated carcinoma CK (+) LCA (-) Nasal endoscopy with biopsy onlyFor metastatic workup CXR, TBS, Liver UTZ For MRI of the neck with contrast RC 52/F Nasopharyngeal Carcinoma Stage II T1 N0 M0 UST – 12-27-2014 ACT? Undifferentiated carcinoma Nasal endoscopy with biopsy onlyFor metastatic workup CXR, TBS, Liver UTZ TFT Dental clearance Audiometry Review of MRI Magadia Vilma, Raymundo Catalina UNIVERSITY OF SANTO TOMAS HOSPITAL BENAVIDES CANCER INSTITUTE DEPARTMENT OF RADIATION ONCOLOGY HEAD AND NECK TUMOR BOARDS January 2014

3 Name/SexHistopathologic DiagnosisHistopathologyTreatmentPlan Nasopharynx - 4 cases ES 59/M Nasopharyngeal Carcinoma Stage IVA T4N2Mx UST 1-21-2014 L14-61 Undifferentiated, nonkeratinizing Nasal endoscopy with biopsy onlyFor metastatic workup CXR, TBS, Liver UTZ TFT Dental clearance Audiometry MRI of nasopharynx with contrast MD 52/M Nasopharyngeal Carcinoma Stage II T2 N1 MX UST – 12/23/2013 ACT 13-2625 Undifferentiated, nonkeratinizing Nasal endoscopy with biopsy onlyFor metastatic workup CXR, TBS, Liver UTZ TFT Dental clearance Audiometry Embuscado Severino, Minda Dionisio UNIVERSITY OF SANTO TOMAS HOSPITAL BENAVIDES CANCER INSTITUTE DEPARTMENT OF RADIATION ONCOLOGY HEAD AND NECK TUMOR BOARDS January 2014

4 Name/SexHistopathologic DiagnosisHistopathologyTreatmentPlan Salivary Gland NL 44/F Recurrent salivary gland neoplasm, right parotid (Acinic cell CA) Stage IVA T4aN0Mx 2009 – Jan 28 T = 3 x 2 x 2cm Pleomorphic adenoma 2013 – Nov 21 FNAB – Low grade adenomyoepethelioma (Fatima University Medical Center) 1-29-2014 T = 7.0 x 5.6 x 4.7cm Acinic cell Ca Resection of R parotid mass 1982, 1994, 2009 Jan 20, 2014 – Total parotidectomy (Fatima University Medical Center) Review of slides MRI of the neck with contrast For metastatic workup CXR, TBS, Liver UTZ Nicolas Lucy UNIVERSITY OF SANTO TOMAS HOSPITAL BENAVIDES CANCER INSTITUTE DEPARTMENT OF RADIATION ONCOLOGY HEAD AND NECK TUMOR BOARDS January 2014

5 Name/SexHistopathologic DiagnosisHistopathologyTreatmentPlan Oral Cavity SR 65 Squamous cell carcinoma of the Oral tongue, Left Stage Iva T4N2bMx 2014 Jan 8 L14-15 Excision biopsy – Squamous cell carcinoma well differentiated Biopsy onlyPrimary radical RT 70Gy to gross tumor s/p Metastatic WU negative s/p PEG insertion Salazar Restituto UNIVERSITY OF SANTO TOMAS HOSPITAL BENAVIDES CANCER INSTITUTE DEPARTMENT OF RADIATION ONCOLOGY HEAD AND NECK TUMOR BOARDS January 2014

6 Name/SexHistopathologic DiagnosisHistopathologyTreatmentPlan Paranasal Sinus AL 31M Myofibrosarcoma, L Maxillary Sinus FNCLCC Grade 2 2013 Dec AC 13-4619 Myofibrosarcoma FNCLCC Grade 2 T = 3.5cm Clear margins 2013 Dec 13 St. Jude Hospital Partial left maxillectomy Adjuvant RT 66/33/5 To preop tumor bed CR 54 Recurrent esthesioneuroblastoma Kadish C 2013 Dec 23 Round cell neoplasm – favor olfactory neuroblastoma NSE + Chromogranin + Synaptophysin + S100 - 2012 May 6 PGH Medial maxillectomy and excision s/p Adj RT 50Gy 2013 Dec 23 R frontonasal, R temporal craniotomy, excision of tumor, R exenteration of orbit Adjuvant RT to preop tumor bed 60/30/5 With concurrent chemotherapy Abarquez, Leopoldo & Cabacungan Ruben UNIVERSITY OF SANTO TOMAS HOSPITAL BENAVIDES CANCER INSTITUTE DEPARTMENT OF RADIATION ONCOLOGY HEAD AND NECK TUMOR BOARDS January 2014

7 Name/SexHistopathologic DiagnosisHistopathologyTreatmentPlan Larynx BJ 71M Laryngeal carcinoma, Glottic Stage II, T2N0Mx 2013 - Dec Video endoscopy with biopsy Mass left vocal cord: SCCA keratinizing, grade I Endoscopy with biopsy onlyFor metastatic workup CXR, Liver UTZ CT scan of the neck with contrast (Laryngeal) Bosi Jesus UNIVERSITY OF SANTO TOMAS HOSPITAL BENAVIDES CANCER INSTITUTE DEPARTMENT OF RADIATION ONCOLOGY HEAD AND NECK TUMOR BOARDS January 2014


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