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Difference between revisions of "Squamous cell carcinoma of the head and neck"
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Squamous cell carcinoma of the head and neck (view source)
Revision as of 16:34, 30 April 2014
, 16:34, 30 April 2014→Sign out
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LESION, TONGUE/FLOOR OF MOUTH BORDER, BIOPSY: | LESION, TONGUE/FLOOR OF MOUTH BORDER, BIOPSY: | ||
- INVASIVE KERATINIZING SQUAMOUS CELL CARCINOMA, MODERATELY DIFFERENTIATED. | - INVASIVE KERATINIZING SQUAMOUS CELL CARCINOMA, MODERATELY DIFFERENTIATED. | ||
</pre> | |||
<pre> | |||
LEFT NECK (LONG SUTURE LEVEL IA AND SHORT SUTURE LEVEL IIB), LEVEL | |||
I-IV, DISSECTION: | |||
- LEVEL IA: | |||
-- ONE LYMPH NODE WITH SQUAMOUS CELL CARCINOMA, AND FOUR LYMPH NODES | |||
NEGATIVE FOR MALIGNANCY (1 POSITIVE/5). | |||
-- BENIGN SALIVARY GLAND. | |||
-- SEE COMMENT. | |||
- LEVEL IIA: | |||
-- FIVE LYMPH NODES NEGATIVE FOR MALIGNANCY (0 POSITIVE/5). | |||
- LEVEL III: | |||
-- FIVE LYMPH NODES NEGATIVE FOR MALIGNANCY (0 POSITIVE/5). | |||
- LEVEL IV: | |||
-- TEN LYMPH NODES NEGATIVE FOR MALIGNANCY (0 POSITIVE/10). | |||
COMMENT: | |||
The squamous cell carcinoma is moderately differentiated and shows rare | |||
keratinization. The tumour lies adjacent to benign (submandibular) salivary | |||
gland which it does not involve. | |||
</pre> | </pre> | ||
===Micro=== | ===Micro=== | ||
====Biopsy==== | |||
The section shows atypical (squamous) cells with moderate grey cytoplasm, central nuclei with small nucleoli, infiltrating between fibrous tissue. Abundant keratin pearls are present. The nuclei are predominantly pale staining and focally have irregular nuclear membranes and irregular chromatin. Mitotic activity is not readily apparent. Necrosis is present focally. | The section shows atypical (squamous) cells with moderate grey cytoplasm, central nuclei with small nucleoli, infiltrating between fibrous tissue. Abundant keratin pearls are present. The nuclei are predominantly pale staining and focally have irregular nuclear membranes and irregular chromatin. Mitotic activity is not readily apparent. Necrosis is present focally. | ||