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In our case, earlier upper GI panendoscopy revealed fibrosis of the internal opening, and partial epithelialization of the tracts could be assumed.
Synchronous second primary tumors in 2,016 head and neck cancer patients: Role of symptom-directed panendoscopy.
The upper gastrointestinal panendoscopy clearly demonstrated a 5 cm irregular, polypoid, ulcerative mass with friability and actively bleeding plus hemostasis management from the bulb to the second portion of duodenum and obstruction over duodenum [Figure 2].
Our patient who presented with abdominal pain and body weight loss and was initially diagnosed as an intestinal T-cell lymphoma based on biopsy of a duodenal lesion found on upper GI panendoscopy.
Once cervical spine integrity has been confirmed, panendoscopy should be performed on any patient with a type 2, 3, 4, or 5 injury.
Panendoscopy performed 3 months later disclosed only dry oropharyngeal mucosa, and biopsies revealed no evidence of cancer.
Also this should be combined with regular follow up with panendoscopy to prevent and detect any possible recurrence in the aerodigestive tract.
Findings on a detailed panendoscopy with blind biopsies and palpation of the tongue base were negative.
Ultrasound of the abdomen, CT of the pelvis and colonoscopy in 1996, and panendoscopy in 1999 were normal.
Extensive physical examination under anesthesia, screening panendoscopy (nasal, laryngeal, and esophageal), high-resolution computed tomography, and random biopsies of the upper aerodigestive tract followed by tonsillectomy (especially ipsilateral) are all used to identify the primary.
1) Alternatively, the use of panendoscopy with biopsy of irradiated tissues in patients with a presumed recurrence may promote radionecrosis; furthermore, many patients without recurrence would be exposed to additional surgical and anesthetic risks.
The patient also underwent random biopsies of the draining region, a left tonsillectomy, and panendoscopy.
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