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Critical Cases 2018
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Critical Cases 2018
Critical Cases
75 yrs old patient having right upper alveolus carcinoma.patient was operated for right buccal mucosa carcinoma in 2009.pet ct shows localised disease with minimal uptake in left neck node.Right subtotal maxillectomy done with Right PM flape.
20-12-2018
45 YRS OLD MALE OPERATED FOR LEFT BUCCAL MUCOSA CANCER OUT SIDE.LEFT RADICAL NECK DISSECTION WITH LEFT BUCCAL MUCOSA GROWTH EXCISION DONE.POST OPERATIVE RADIOTHERAPY GIVEN .PT HAD RECURRENT NECK MASS ON RIGHT SIDE INVOLVING RIGHT IJV.RIGHT NECK NODAL MASS EXCISION DONE.NOW PATIENT HAS LEFT SIDE LEVEL II SUPERFICIAL NODE SUPERIOR TO STERNOCLEDO MUSCLE.FNAC PROVES METASATIC CARCINOMA.LEFT SOHND DONE.
18-12-2018
14 YRS OLD LADY HAVING LUMP IN LEFT BREAST.PREVIOUSLY OPERATED OUT SIDE REPORTED PHYLLOID TUMOUR.TRUE CUT BIOPSY OF RECURRENT TUMOUR DCIS.LEFT BREAST LUMPECTOMY DONE .WAITING FOR HPE.
18-12-2018
72 YRS LADY HAVING HABBIT OF PUTTING TOBACCO IN THE MOUTH WHILE SLEEPING.SHE DEVELOPES RIGHT BUCCAL MUCOSA CARCINOMA WHICH INVOLVES LOWER GINGIVO BUCCAL SULCUS WITH EROSION OF THE MANDIBLE.RIGHT RADICAL NECK DISSECTION WITH RIGHT HEMIMANDIBULECTOMY WITH RIGHT PM FLAPE DONE.
7-12-2018
55 years old lady operated for left breast cancer.left modified radical mastectomy with left LD flape done.
4-12-2018
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61 yrs old patient operated for laryngectomy with pharyngectomy with right level 2,3,4 dissection before 7 months No radiation given Now patient developes left level 2 neck mass with infiltration of left jugular vein and right level 3 node infiltrating superior lobe of thyroid Left level 2,3,4 neck clearance with right level 3 node clearance with excision of right superior pole of thyroid done.
1-12-2018
51 yrs old lady having big lump in left breast since 6 months.biopsy shows carcinoma breast.left modified radical mastectomy done.
30-11-2018
51 yrs old male operated for left carcinoma tongue before 2 yrs.pt was not radiated post operatively.Now patient developes right supraclavicular mass which completely encassed the right jugular vein and abut the right common carotid artery.right radical neck dissection with removal of right jugular vein done.
26-11-2018
45 yrs old male operated for right buccal mucosa carcinoma before 6 months.pt has recurrent big neck mass.right neck nodal clearance with right PM flape done.
14-11-2018
42 YRS OLD MALE SUFFERING FROM RIGHT TESTICULAR MASS WITH SECONDARIES IN LUMG.BETA HCG AND SERUM AFP ARE VERY HIGH.RIGHT INGUINAL ORCHIDECTOMY DONE.
26-10-2018
45 YRS OLD FEMALE OPERATED FOR RIGHT BREAST CARCINOMA.RIGHT MODIFIED RADICAL MASTECTOMY WITH RIGHT LD FLAPE DONE.
12-10-2018
50 yrs old lady suffering from carcinoma cervix.werthiem's hystrectomy done.
10-10-2018
56 yrs old patient suffering from right gb sulcus carcinoma.right radical neck dissection with right hemi mandibulectomy with right PM flape done.
10-10-2018
56 yrs old male operated for right buccal mucosa carcinoma before 1 year.pt has recurrent of right buccal mucosa growth.right segmental mandibulectomy with wide excision of right buccal mucosa growth with right PM flape done.
05-10-2018
39 yrs old suffering from right buccal mucosa carcinoma with extension to outer cheek skin.right radical neck dissection with right hemi mandibulectomy with right pm flape done.
04-10-2018
65 yrs old man suffering from pancreatic tell growth.pt had splenic flexure colonic obstruction before 14 months.right transverse colostomy done.pt was given 8 cycles of chemotherapy.now pt has metastatic growth in terminal illeum.resection of small bowel with side to side anastomosis done.
29-09-2018
50 YRS OLD MALE HAVING RIGHT ANGLE MOUTH CARCINOMA .WIDE EXCISION WITH NASOLABIAL FLAPE DONE.
29-09-2018
40 YRS OLD LADY HAVING ADVANCED CARCINOMA TONGUE.NEO ADJUVANT CHEMO THERAPY STARTED.
29-09-2018
65 YRS OLD LADY HAVING ADVANCED LEFT BREAST CANCER.LEFT MODIFIED RADICAL MASTECTOMY WITH LD FLAPE DONE.
29-09-2018
55 yrs old lady having right breast carcinoma.right modified radical mastectomy done.
31-08-2018
50 yrs old lady having left tonsillar carcinoma with metastatic node involving left internal jugular vein and left external carotid artery.left radical neck dissection with left tonsillar fossa growth excision with left PM flape done.left IJV and LEFT ECA tied.
31-08-2018
27 yrs old lady suffering from right lateral margin tongue carcinoma.right radical neck dissection with right lateral margin tongue growth excision done.
30-08-2018
60 YRS OLD LADY SUFFERING FROM LOCALLY ADVANCED LEFT BREAST CARCINOMA.LEFT MODIFIED RADICAL MASTECTOMY WITH LEFT LD FLAPE DONE.
24-08-2018
76 yrs old lady suffering from left carcinoma breast with 1cm single solitary metastatic nodule in right lobe of liver.left modified radical mastectomy with radio frequency ablation of liver seconary done.
02-08-2018
40 YRS MALE SUFFERING FROM RECURRENT LT LOWER GB SULCUS CARCINOMA WITH METASTATIC SUBMENTAL NECROTIC MASS.PT WAS OPERATED FOR LEFT BUCCAL MUCOSA CARCINOMA WITH SUPRAOMOHYOID NECK DISSECTION.LEFT HEMIMANDIBULECTOMY WITH WIDE EXCISION OF SUBMENTAL MASS WITH LEFT PM FLAPE WITH STG DONE .
01-08-2018
75 YRS OLD FEMALE OPERATED FOR LEFT BREAST CANCER BEFORE 2 YRS.PT HAD ER,PR POSITIVE.DISEASE WAS LOCALLY ADVANCED.PT WAS ON TAB AROMASIN SINCE 2 YRS.NOW PT HAS LOCALLY DISTANT CUTANEOUS MALIGNANCY SINCE 15 DAYS.WIDE EXCISION OF RIGHT ABDOMINAL WALL RT LATERAL CHEST WALL SKIN CUTANEOUS MALIGNANCY DONE.
01-08-2018
56 yrs old lady suffering from post menopausal bleeding.PAP smear shows moderately diffrentiatedv squmaous cell carcinoma.WERTHIEM'S hystrectomy done.
11-07-2018
45 YRS OLD MAN SUFFERING FROM LEFT LOWER GB SULCUS CARCINOMA INVOLVING ANGLE MOUTH.LEFT RADICAL NECK DISSECTION WITH LEFT HEMIMANDIBULECTOMY WITH LEFT LOWER GB SULCUS GROWTH EXCISION WITH LEFT PM FLAPE DONE.
06-07-2018
32 YRS OLD LADY HAVING MODERATELY DIFFRENTIATED CARCINOMA OF RIGHT LATERAL MARGIN OF TONGUE.RIGHT RADICAL NECK DISSECTION WITH RIGHT WIDE LATERAL MARGIN GROWTH EXCISION DONE.
14-06-2018
45 yrs old male having left lower GB sulcus carcinoma.pt was on Ayurvedic treatment since 4 months. Left radical neck dissection with left distal mandibulectomy with left PM flape done
11-06-2018
62 yrs old male suffering from left vallecula and epiglottic carcinoma involving base tongue.laryngectomy with pharyngectomy with primary closure of pharynx done.right sternomastoid reinforcement done.
08-06-2018
62 yrs old male having left buccal mucosa carcinoma with involvement of upper and lower GB sulcus.left radical neck dissection with left buccal mucosa growth excision with left hemi mandibulectomy with lower partial maxillectomy with left PM flape done
07-06-2018
45 yrs old male suffering from left buccal mucosa carcinoma with big level 1 metastatic mass.left radical neck dissection with left hemimandibulectomy with wide excision of left cheek growth with buccal mucosa growth excision with upper alveplectomy with left PM flape done.
04-06-2018
68 yrs old lady having locally advanced left anterior 2/3 and post 1/3 tongue carcinoma.pt was operated for right breast cancer in 2010.left radical neck dissection with left extended near total glossectomy with left PM flape done
31-05-2018
42 yrs old male suffering from carcinoma of left parotid gland Six cycle of neo adjuvant chemo given After six cycles tumour reaching up to base skull and eroding the body of mandible Left radical neck dissection with left hemi mandibulectomy with excision of bade skull approaching parotid tumour with left PM flape done
28-05-2018
42 yrs old male suffering from right buccal mucosa carcinoma involving upper and lower GB sulcus .right radical neck dissection with right distal mandibulectomy with right upper alveolectomy with right PM flape done.
24-05-2018
46 yrs old lady operated for left breast carcinoma Left modified radical mastectomy done
19-05-2018
40 yrs old patient suffering from right buccal mucosa carcinom,right radical neck dissection with right buccal mucosa growth excision with right distal mandibulectomy with right PM flape done.
18-05-2018
56 yrs old lady operated for jejunal metastatic lesion from carcinoma of body uterus She was operated before 8 months For pan hysterectomy.
14-05-2018
46 yrs old male suffering from advanced right buccal mucosa carcinoma Right radical neck dissection with right distal mandibulectomy with upper alveolectomy with cheek growth excision with PM flape done
03-05-2018
58 yrs old pt suffering from advanced carcinoma of right ant 2/3 and post 1/3 of tongue.right radical neck dissection with right extended hemiglossectomy with right PM flape done
30-04-2018
46 yrs old lady operated for left breast carcinoma.left modified radical mastectomy done.
29-04-2018
55 yrs old lady operated for right hemithyroidectomy.
27-04-2018
56 yrs old pt having right buccal mucosa carcinoma with angioplasty before 10 yrs.pt having hypertension with diabetes with asthama.right radical neck dissection with right distal mandibulectomy with right upper alveolectomy with right PM flape done.
27-04-2018
29yrs old male suffering from left buccal mucosa carcinoma with trismus.pt had extension of tumour up to outer surface of cheek.left radical neck dissection with left hemimandibulectomy with lower partial maxillectomy with PM flape done.
14-04-2018
45 yrs female patient having mass in right side of neck at level 2.FNAC show metastatic papillary cacinoma CT scan neck shows presence of calcified lesion in right lobe of thyroid. serum thyroglobulin level is high.Total thyroidectomy with bilateral neck nodes clearance done.
13-04-2018
45 yrs old male suffering from mass in sigmoid colon.pt was operated for near total colectomy in 2000 for multiple polyposis .illeo sigmoid anastomosis done.on exploration mass in anastomotic region.mass was invading psoas muscle and also infiltrating small bowel.colonic resection with small bowel resection done.
10-04-2018
42 yrs young male suffering from right buccal mucosa carcinoma.right radical neck dissection with right buccal mucosa growth excision with right upper alveolectomy with right PM flape done.
10-04-2018
45 yrs old patient having right palate carcinoma with left tongue growth .right distal mandibulectomy with right lower partial maxillectomy with left tongue growth excision with right PM flape done.
30-03-2018
65 yrs old patient operated for left buccal mucosa carcinoma in 2014.pt had developed lt palat ulcer which shows squamous cell carcinoma.left lower partial maxillectomy with left nasolabial flape done.
29-03-2018
35 yrs old male suffering from left buccal mucosa carcinoma.left radical neck dissection with left distal mandibulectomy with left upper alveolectomy with left pm flape done.
09-03-2018
42 yrs old male suffering from advanced left pyriform fossa growth .pt had CABG before one month.Laryngectomy with pharyngectomy with primary closure done
27-02-2018
80 yrs old lady suffering from right buccal mucosa ulcer .wide excision with right nasolabial flape done
42 years old suffering from KY buccal mucosa carcinoma.left radical neck dissection with left distal mandibulectomy with lower partial maxillectomy with left PM flape done
55 yrs old lady suffering from left breast carcinoma.left modified radical mastectomy with left LD flape done
42 yrs old male suffering from left submandibular mass extending in to retromolar trigone with complete trismus.pt was operated for left buccal mucosa growth excision in 2014.left hemimandibulectomy with cross PM flape done
52 yrs old female having rt breast ductal carcinoma.right modified radical mastectomy with right LD flape done.
52 yrs old lady suffering from advanced right carcinoma breast.right modified radical mastectomy with right LD flape done
44 yrs old lady having habbit of tobacco chewing was suffering from right lateral margin carcinoma tongue was operated for right radical neck dissection with right hemiglossectomy done.
45 yrs old male suffering from advanced left lateral margin carcinoma of tongue.one cycle chemotherapy given somewhere.left radical neck dissection with left extended hemiglossectomy with left PM flape done.
45 yrs old pt having right buccal mucosa squamous papilloma.wide excision with right nasolabial flape done.
44 years old lady suffering from right lateral margin carcinoma tongue.right radical neck dissection with wide excision of right lay margin tongue done.
27yrs old boy suffering from left buccal mucosa carcinoma with retromolar trigone extension.left radical neck dissection with left distal mandibulectomy with left lower partial maxillectomy with left pectoralis major myocutaneous flape done.
56 yrs old lady who had right thigh soft tissue sarcoma.for that pt had taken six cycles of neoadjuvant chemotherapy at somewhere.recent MRI shows no change in the size of tumour.tumour was arising from vastus medialis muscle.right thigh compartmental excision of soft tissuse mass was done.femoral vesseles are completely free from tumour.femoral nerve was entrapped in the tumour.it was sacrificed.
45 yrs old lady suffering from left lateral margin tongue ulcer having well differentiated squmaous cell carcinoma.left radical neck dissection with left hemiglossectomy done.
44 yrs old lady having locally advanced carcinoma of lt breast.pt was given 6 cycles of neoadjuvant chemotherapy.after then left modified radical mastectomy with transposition of thoraco epigastric flape done.
46 yrs old lady operated for left carcinoma breast.left modified radical mastecomy done.
65 years old lady having large vulval growth involving vagina.three cycles of neo adjuvant chemo given.growth reduced 70%.rt extended vulvectomy with rt inguinal nodes clearance done
56 yrs old male operated for tongue cancer at some other place.now pt has 7cm *7cm floor mouth growth involving hyoid bone.complete excision of growth with floor mouth reconstruction with PM flape done
45 yrs old male having large fungating mass on rt cheek with maggots inside.pt had taken neo adjuvant chemotherapy and then ayurvedic treatment for 3 months.after that today left commando surgery with pm plus forehead flape done.
Young lady un married having huge mass in her breast since one year operated today with Reconsrtuction waiting for Reports.
Advanced rt buccal mucosa carcinoma.pt will be operated for composite resection.
lt latissmus dorsi flap after left modified radical mastectomy.
Young child having left neck mass. Reported nasopharyngeal carcinoma.treated with 12 cycles of chemotherapy at ahmedabad. Now recurrence after one year. Pt is on docetaxol 70mg every 21 days.
More Cases
35 YRS OLD PT SUFFERING FROM LEFT BUCCAL MUCOSA CARCINOMA WITH RETROMOLAR TRIGONEC EXTENSION.LEFT RADICAL NECK DISSECTION WITH LEFT HEMIMANDIBULECTOMY WITH LEFT LOWER ALVEOLECTOMY WITH LEFT PM FLAPE DONE
54 YRS OLD LADY OPERATED BEFORE 4 MONTHS GETTING RECURRENCE OF LEFT BUCCAL MUCOSA CARCINOMA.PAST H/O OPERATION FOR LEFT BUCCAL MUCOSA CARCINOMA BEFOREC 4 MONTHS.POST RADIOTHERAPY WITH CHEMOTHERAPY GIVEN. AT THAT TIME LEFT MARGINAL MANDIBULECTOMY WAS DONE. NOW LEVEL 4 &5 NECK DISSECTION AND LEFT HEMIMANDIBULECTOMY WITH LEFT PM FLAPE DONE.
35 YRS OLD PT SUFFERING FROM LEFT BUCCAL MUCOSA CARCINOMA WITH RETROMOLAR TRIGONEC EXTENSION.LEFT RADICAL NECK DISSECTION WITH LEFT HEMIMANDIBULECTOMY WITH LEFT LOWER ALVEOLECTOMY WITH LEFT PM FLAPE DONE
