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Submitted Case

Head and Neck Specialist David Sher
1. Submitted Case
2. Submitted Case
3. Submitted Case
4. Submitted Case
5. Submitted Case
6. Submitted Case
Patient Information: (Do not provide name of the patient)
Age
  70 yo, healthy, 3 mo hx of left level II neck mass rapid growth, sore throat, no CN deficits
Diagnosis
  parotid acinic cell CA, 2.3cm; radical parotidectomy, nerve sparing, L neck dissection
Pathology
  high grade transformation 2.3 cm mass, perineural invasion, positive soft tissue margins; 3/28 L neck nodes, no ECE
Stage
  pT2N2b
Overall Oncology Management Plan
Surgery (biopsy)
  radical parotidectomy, nerve sparing, L neck dissection
Chemotherapy (if given, what is the regimen)
  none recommended
Radiation Therapy (fields, dose)
  66Gy/33 fx to bed or prior L parotid and L neck mass, 60Gy/30 to other L neck nodes and path of CN VII to skull base
Images
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Session Name
  Head and Neck Specialist David Sher
Session ID
  9550
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