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7 Cards in this Set
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Work Up Hypopharynx Cancer
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"I would take a history and do a physical exam, and order a CBC, metabolic panel and CXR with the goal of determining:
The size of the primary tumor and if it invades adjacent structures If there is any regional adenopathy If there are any distant metastases and if there is a condition that would increase the risk of surgery or radiotherapy such as neurologic, cardiac, pulmonary disease active collagen vascular disease or history of prior RT" Imaging: CT scan with contrast, PET/CT at some institutions Direct laryngoscopy to assess the extent of primary, obtain biopsy and look for second primaries Dental eval: to advise on extractions and optimize dental care |
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Hypopharynx cancer: Symptoms
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Odynophagia
Dysphagia Painless neck mass |
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Glottic larynx cancer: Symptoms
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Hoarseness
Advanced cancers: Airway obstruction Pain Dysphagia Referred otalgia Painless neck mass |
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Supraglottic larynx cancer: Symptoms
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Hoarseness - false vocal cord
Voice changes, "hot potato voice" Local Pain Referred ear pain Advanced: Dysphagia Airway obstruction |
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Nasal Cavity/Paranasal Sinus Cancer: Symptoms
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History of recurrent nasal obstruction
Recently worsened sinusitis Intermittent epistaxis Mass protruding from nose Epiphora - if mass obstructs nasolacrimal duct Diplopia Proptosis Frontal Headache Aberration or loss of smell |
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Endometrial cancer: Symptoms
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Post-menopausal bleeding
Profuse watery discharge Menorrhagia for perimenopausal or premenopausal women Advanced: Abdominal pain Back pain Lymphedema |
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Cervical Cancer: Symptoms
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Vaginal bleeding: post-coital spotting, metrorrhagia, menorrhagia
Fatigue secondary to anemia Vaginal discharge Pelvic pain Lumbosacral pain- due to hydropnephrosis or lymphadeopathy Hematuria - due to invasion of the bladder rectal bleeding- due to invasion of the rectum Rectal bleeding |