Tumors

Question 1

Management of nasopharyngeal carcinoma

Answer 1

Urgent ENT referral (within 2 weeks)
● Biopsy (diagnosis)
● CT (staging)

Question 2

A 46 year old man complains of a blocked nose
with occasional blood present on tissues when
blowing. He also complains of pressure in his
upper teeth, recent cheek swelling, and double
vision. What is the most likely diagnosis?

Answer 2

Paranasal sinus carcinoma

Question 3

70 year old patient presents with a hoarse
voice which has been ongoing for 3 weeks. He is
a heavy smoker and drinker. What is on the top
of your differential?

Answer 3

Laryngeal cancer

Question 4

A patient has asthma, rhinorrhoea, bilateral
painless nasal obstruction and anosmia. What
do you suspect?

Answer 4

Nasal polyp

Question 5

Management of pleomorphic adenoma

Answer 5

Superficial parotidectomy

Question 6

A pt comes with Free and mobile submandibular mass that grows rapidly with skin induration

Answer 6

US guided Fine needle aspiration

Question 7

A patient with sarcoidosis prenets with Symmetrical enlargement of all salivary glands.

Dryness of the mouth and narrowing of the palpebral fissures (enlargement of lacrimal glands)

What is the diagnosis

Answer 7

Mikulicz syndrome (triad)