| Physical Exam |
02/14/XX |
Right vocal cord covered with a fungating lesion. Lesion does not extend beyond true vocal cord. Neck: supple. No nodes palpable. |
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| X-Rays & Scans |
02/15/XX |
CXR: Lungs are clear. No acute disease. |
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| Laboratory |
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None. |
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| Scopes |
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See operative findings. |
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| Operative Findings |
02/26/XX |
Direct laryngoscopy and biopsy. Findings: Entire surface of right vocal cord covered with a fungating mass. Mass extended partially into ventricle and approximately 2 mm over the free margin onto inferior border of the vocal cord. |
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| Pathological Reports |
02/26/XX |
Biopsy of larynx: Invasive moderately differentiated keratinizing squamous cell carcinoma. |
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| Treatment |
03/05/XX |
Radiation: 6480 rads to glottis (6 MV) at staff physician's office. |
