Technique ; Routine head and neck protocol ,post contrast study
Findings;
the Study reveals large enhancing infiltrative tumor 5x8 cm in size at Lt,gum with involved gingivosuicus and buccal cavity,with bony destruction.
involvement of Lt,side of upper and lower lips is noted.invasion into adjacent mandibular ramus and maxilar bone is shown.Extension to involve Lt.Submandibular space.Metastatic nodes at Lt.retropharyngeal note(0.95 cm) and LT.upper juguiar chain nodes(1.4 cm) are observed.
IMP- CA Lt,gum,Buccal mucosa with involved Lt.side of upper & lower
lip,destruction of Lt.side od mandible & maxillar bone with involved Lt.submandibular space
- Metastatic nodes at Lt.retropharyngeal space & Lt.level II