RT Book, Section
A1 Goldstein, Nathan E.
A1 Genden, Eric
A1 Morrison, Sean
A2 McPhee, Stephen J.
A2 Winker, Margaret A.
A2 Rabow, Michael W.
A2 Pantilat, Steven Z.
A2 Markowitz, Amy J.
SR Print(0)
ID 6605440
T1 Palliative Care for Patients With Head and Neck Cancer: "I Would Like a Quick Return to a Normal Lifestyle"
T2 Care at the Close of Life: Evidence and Experience
YR 2011
FD 2011
PB The McGraw-Hill Companies
PP New York, NY
SN 9780071637954
LK jamaevidence.mhmedical.com/content.aspx?aid=6605440
RD 2024/10/09
AB Mr  K  is  a  57-year-old  financial  analyst  with  a  long  history  of  precancerous  and  cancerous  oral  lesions.  Although  his  medical  history  includes  hypertension,  diabetes  mellitus,  and  human  immunodeficiency  virus  infection  (well  controlled  with  antiretroviral  treatments),  he  has  no  risk  factors  for  oral  cancer,  specifically  no  tobacco  use,  or  significant  alcohol  intake.  Twelve  years  ago,  he  developed  a  tongue  lesion  that  demonstrated  dysplasia.  It  was  treated  with  topical  steroids  and  then  both  laser  and  surgical  excision.  The  lesion  recurred  2  years  later,  and  a  biopsy  specimen  revealed  superficially  invasive  well-differentiated  squamous  cell  carcinoma.  He  underwent  wide  resection  with  all  margins  clear  of  carcinoma  but  with  residual  dysplasia  at  the  edges.