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作業of口腔癌

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🐼 Work / ... / 👂 ENT / 作業of口腔癌 Share Add icon Add cover Add comment 作業of口腔癌 Oral cancer OPD 2023/04/25 S O ECOG: 0 Oral cavity: right tongue ulcerative mass, 7*4cm, with induration and very tenderness, DOI might be >10mm Oropharynx: normal finding Nasopharynx: sensitive Neck: LAP(-) IMP: right tongue cancer, cT3N1(Rt II) at least (T4a due to DOI) -- poor view of outer HNMRI fiberscopy for invisible Npx and hypopharynx -- Rt tongue tumor -- no definite tumor included NPx, oropharynx, and hypopharynx -- patient airway -- explain # suggest combine OP --  deny medical dz --  no ASA in use --  explain surgical risk, morbidity, 其他治療選擇 --  patient asked OP after explanation, 2023.5.1-2 admission -- check 重大傷病證明 -- arrange  MRI (by chief 吳樹鏗), panorex -x-ray (included pre-op mouth scaling-consult chief 張佑良), RPR/VDRL, albumin ,hepatis, HIV, HSCRP, SCC Ag, NO-剩餘檢體, combine OP (5/4) with prof  高煌凱 OP method: -- Tracheostomy, -- R tongue tumor excision with hemi-glossectomy,  R ND (I-III), ALT

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