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60 years old male left for palliative care

MR. Sanjeev

60 years old male diagnosed with CA Tonsil with extensive spread. Patient visited multiple centers and all adviced him for palliative care. Patient underwent curative surgery at our facility and recived postopertive CTRT and now disease free.


Patient presented with difficulty in swallowing from past 4-5 months. Patient was already diagnosed with squamous cell carcinoma of left tonsil at previous center. Contrast Enhanced CT revealed hetrogenously enhancing mass in left tonsillar region involving left tonsillolingual, Base of Tongue and posterior tonsillar pilar not encasing the carotid artery with multiple enlarged lymph nodes in the neck.


Patient was adviced for palliative care at previous center that he visited. Patient was adviced for surgery at our facility. Patient underwent radical tonsillectomy along with baseof tongue with safe margin with bilateral neck dissection with PMMC flap repair of the defect.

Post operative period was uneventful. Drain was removed after 1 week and allowed orally after 2 weeks. Patient counseled for radiotherapy and underwent 66Gy of radiation with total of 33 cycle at a rate of 5 cycle per week.


Patient followed up once a month and now 1 year later his scare is barely visible and he is disease free. In our experience multimodality treatment i.e surgery followed by CTRT is always a better option than CTRT alone in case of head and neck cancer.