Presentation
Right palpable lymphadenopathy. History of smoking.
Patient Data
Age: 48
Gender: Male
From the case:
Tonsillar squamous cell carcinoma
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- Nodular enlargement of right faucial tonsil (13 x 14 x 20mm)
- No extension into tongue base
- Lymphadenopathy:
- Right parapharyngeal region (posterior to mass) 9 x 11 x 27 mm
- Right submandibular level 2/3 (19 x 15 x 32 mm)
- Right level 4 - 7 x 14mm.
- Suspicious left submandibular node 9 x 17mm
- Prominent left level 2 node 5 x 11x 18mm
Case Discussion
Right tonsil SCC (oropharyngeal sub-site). Staging:
- T1 - tumour 2cm or less
- N2c - metastasis in bilateral lymph nodes <6cm
Case submitted by Dr Smita Deb and A/Prof Pramit Phal.