A 65-year-old woman (Figure 5-8) presents with an ulcerated lesion of the left upper gum measuring 3 × 2 cm. A staging CT scan shows erosion of the bone of the upper alveolus with extension into the maxillary sinus. No enlarged cervical lymph nodes were present. Management of the primary tumor is by

Which oral cancer subsite is associated with the

highest rate of occult neck metastases?

Which is not an indication for segmental mandibulectomy?

The patient shown in picture an SCC of the middle third of the lower lip. What are the most common lymph nodes at risk?

The defect after resection is shown in Figure. This is best repaired by a

The patient in Figure has an adenoid cystic cancer of the hard palate. Which of the following is false regarding adenoid cystic cancer?

Figure shows a CT scan of the patient in Question 54. The patient should be managed by

The patient in Figure has an SCC of the lateral border of the oral tongue. The tumor measures 3 cm × 2 cm. A CT scan shows no enlarged lymph nodes. The stage of the patient is

The patient in Figure has an SCC of the lateral border of the oral tongue. The tumor measures 3 cm × 2 cm. A CT scan shows no enlarged lymph nodes.

Elective treatment of the neck in this case involves dissection of levels

Optimal management of the osteoradionecrosis

shown in Figure is

The patient in this Figure SCC of the left lower gum. Assessment of the mandible is best done by

The primary tumor in this Figure measures 5 cm × 3 cm. A CT scan shows erosion of the cortex of the mandible. Two enlarged lymph nodes with central necrosis are shown in level 1b. One lymph node measures 4 × 2 cm and the other 1.5 × 2 cm. Under the TNM staging system, this patient’s tumor is classified as

A 65-year-old man presents with 6 months of occasional hoarseness. A complete head and neck examination is performed and shows no lymphadenopathy. Flexible laryngoscopy shows a fullness of the subglottis that is incompletely visualized. Normal vocal cord movement is noted. A computed tomographic (CT) scan is displayed. The next best step in the management of should be

A 65-year-old man presents with 6 months of occasional hoarseness. A complete head and neck examination is performed and shows no lymphadenopathy. Flexible laryngoscopy shows a fullness of the subglottis that is incompletely visualized. Normal vocal cord movement is noted. A computed tomographic (CT) scan is displayed Which of the following is the least likely diagnosis of the patient in this Case?

Biopsy of this lesion in this picture demonstrates

cartilage elements, but the pathologist is unable

to confirm chondroma versus chondrosarcoma.

Further metastatic evaluation results are negative.

The next step in management should be

Biopsy of the lesion in this picture confirms chondrosarcoma.

Which of the following surgical options is

best for this patient?

Biopsy of this lesion in this picture shows SCC in

the subglottis, with no vocal cord impairment.

Regional and distant metastatic workup results are

negative. The next appropriate treatment is

Biopsy of this lesion in this picture shows adenoid

cystic carcinoma. Regional and distant metastatic

workup results are negative. The next appropriate

treatment is

Biopsy of this lesion in this picture shows small cell neuroendocrine carcinoma. Regional and distant metastatic workup results are negative. The next appropriate treatment is

A 70-year-old man with a history of long-term smoking, as well as chronic obstructive pulmonary disease, presents with 1 year of hoarseness. Neck examination shows right level II lymphadenopathy with a 1.5-cm lymph node. Flexible fiberoptic laryngoscopy shows a right transglottic lesion with right vocal cord fixation. The disease extends to the left aryepiglottic fold. There is no impairment or involvement of the left vocal cord. PET/CT shows no distant metastasis, fluorodeoxyglucose (FDG)-avid lymphadenopathy as previously described, and an FDG-avid primary lesion of the larynx. The CT scan

What is the next appropriate step in management?

Tissue biopsy of the lesion in this case confirms

SCC. The patient desires surgery. What is the best

surgical treatment for this patient?

What adjuvant therapy will likely be indicated for

the tumor described in this case? with pathologi SCC

A 69-year-old man presents with the lesion pictured in this Figure. The left TVC is mobile, but the right TVC shows impaired movement without fixation. Regional and distant workup results are negative. Direct laryngoscopy shows an exophytic lesion confined to the vibratory surface of the TVC only; the lesion does not involve either arytenoid. The neuroradiology department states that no obvious erosion of the thyroid cartilage is present on the CT scan this picture, only age-related changes. Which of the following is the most appropriate T

stage for the glottis tumor described in the Case?

Which of the following is the most appropriate

nonsurgical treatment for the patient in the Case?

A 55-year-old man with good pulmonary function presents with the lesion in Figure. The lesion is confined to the laryngeal surface, and no disease is seen on the lingual surface of the epiglottis. The true vocal folds are mobile and are free of disease. The lesion extends to the false vocal fold only. On a CT scan, no lymphadenopathy is seen and the preepiglottic space is not involved. Which of the following is the most appropriate T stage for the supraglottic tumor described in Case?

Which of the following is the most appropriate

nonsurgical treatment for the patient in this Case?

A 55-year-old man with good pulmonary function presents with the lesion in Figure 7-4. The lesion is confined to the laryngeal surface, and no disease is seen on the lingual surface of the epiglottis. The true vocal folds are mobile and are free of disease. The lesion extends to the false vocal fold only. On a CT scan, no lymphadenopathy is seen and the preepiglottic space is not involved.

Which of the following is the most appropriate surgical management of the disease described in

this Case ?

Which of the following is appropriate management

of the neck after surgical management of the

primary lesion described in this Case?

A 65-year-old man presents with the lesion pictured in this Figure. He has bilateral bulky 3-cm cervical lymphadenopathy but no distant metastasis. Which of the following is the most appropriate T stage for this tumor based on data presented in this Case?

What is the preferred method of treatment for the

patient in this Case?

Which of the following would not be recommended as part of the treatment for a T1 piriform sinus hypopharynx tumor?

Why is the hypopharynx SCC survival rate consistently

worse than that of other head and neck

cancers?

A 75-year-old woman presents with an incidentally found T1 hypopharynx tumor of the medial piriform sinus. CT and PET findings are negative for cervical disease. She undergoes surgical resection of the primary lesion. Which of the following is the best next step in treatment of the neck?

The woman in Question 54 is taken to the operating room, an antrostomy is done endoscopically, and tissue is removed and sent for pathological analysis. The histological specimen is shown in this Figure. What is your diagnosis

A 48-year-old woman has left-sided facial pressure, pain, and hypoesthesia of her left cheek. She has no visual problems. She has a tumor filling her maxillary sinus and biopsy by another ear, nose, and throat physician shows adenoid cystic carcinoma. MRI of the sinuses is shown in this Figure. What are the appropriate next interventions?

What maxillectomy approach do you recommend

for the patient in the case?

You perform a total maxillectomy with removal of the orbital floor. The periorbita was sampled, and results were negative on frozen-section analysis. You spare the eye. What are acceptable reconstructive options?

A 48-year-old man presented with right-sided proptosis and diplopia. His monocular vision was intact bilaterally. A biopsy of the mass showed small blue cell tumor cells in rosette formation in a neurofibrillary background with no necrosis this Figures. The cells had indistinct borders with scant cytoplasm and “salt and pepper” chromatin. What is the most likely diagnosis?

Which nerve is transmitted through the skull baseforamen shown in this Figure?

Which of the following statements is correct regarding malignant peripheral nerve sheath tumors (MPNST) as shown in Figure?

The buccal branch of the facial nerve, as shown in this Figure?

Which of the following statements about the deep lobe of the parotid, as shown in Figure, is correct?

Which of the following descriptions is true about

lymphoma (Figure 10)?

From the options shown, choose the single most likely diagnosis of the tumor on the ventral tongue shown in Figure

From the options shown, choose the single most likely diagnosis of the tumor on the ventral tongue shown in Figure?

From the options shown below, choose the single most likely diagnosis of the cutaneous tumor in Figure

From the options shown below, choose the single most likely diagnosis of the thyroid tumor in Figure

From the options below choose the single most likely diagnosis of the thyroid tumor shown in Figures

From the options below, choose the single most likely diagnosis of the parotid tumor shown in Figure