Mr Mihai TALOS 59 yr old Romanian man 29.9.04 Wedge excision SCC lower lip Mr Pham at Joondalup Path: Mod differentiated SCC infiltrating into muscle (8.5mm).

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Presentation transcript:

Mr Mihai TALOS 59 yr old Romanian man Wedge excision SCC lower lip Mr Pham at Joondalup Path: Mod differentiated SCC infiltrating into muscle (8.5mm). No vascular, lymphatic or perineural infiltration. All margins clear >4mm

Mr Mihai TALOS Accidental trauma to chin with power saw. Fractured mandible and divided marginal mandibular branch Repair of mandible and primary neurorrhaphy. Incidental finding of right submental mass

Mr Mihai TALOS Never Smoker No other significant medical history Examination findings: No intra oral lesions Right marginal nerve palsy 3x3cm mobile mass submental triangle

Mr Mihai TALOS Investigations: FNA x2 – atypical squamous cells CT neck/lung PET scan

Mr Mihai TALOS

Clinical stage III T1 N1 M0 Consideration for Radiotherapy Planned for surgery 23/08/05