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Mr WB 81 year old man, lives with wife referred to Plas OPC for left neck mass PHx

Mr WB 81 year old man, lives with wife referred to Plas OPC for left neck mass PHx low grade pancreatic neuroendocrine tumour attemptedWhipple’s resection 3/01- abandoned due to bleeding 2 further laparotomies inpatient for 60days absence seizures since 1990 ex smoker stopped 1972.

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Mr WB 81 year old man, lives with wife referred to Plas OPC for left neck mass PHx

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  1. Mr WB • 81 year old man, lives with wife • referred to Plas OPC for left neck mass • PHx • low grade pancreatic neuroendocrine tumour • attemptedWhipple’s resection 3/01- abandoned due to bleeding • 2 further laparotomies • inpatient for 60days • absence seizures since 1990 • ex smoker stopped 1972

  2. 4.3mm Level 5 melanoma excised Lt cheek Aug 02 - 1mm margin • wide local excision and local flap 1/12 later • seen by dermatology 9/9/03 with 2 week history of rapidly enlarging nodule left submandibular region • CT neck performed • FNA performed but inadequate sample obtained

  3. On examination • visible left neck mass (zone II) • 4cm hard nodule • not attached to mandible • Facial, hypoglossal, mental nerve function normal • no other lesions noted • Organised a repeat FNA • Booked for modified radical neck dissection 30/09

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