A misdiagnosis. SCC to MEC - 08-10-2011 03:17 PM
Thank goodness for second opinions. Johns Hopkins reclassified the pathology slides that they got from Prince William Hospital. PWH pathologists (2 of them...) said it was SCC. JH took a look and said it was intermediate grade mucoepidermoid carcinoma, though the final grading will be dependent on the full section. UGGG. I thought I was done with surprises until after the surgeries.
http://oralcancerfoundation.org/facts/rare/mc/index.htm
The plan is still the same. TORS to resect right BOT on 8/17/11, and bilateral selective ND on 9/2/11 to check for metastasis.
Overall, he is pleased with this change. He says the long term outlook is better as long as they can get clear margins. Apparently the BOT is a "good" place to have MEC since it is surrounded by soft tissue, and should result in less complications to remove.
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The plan is still the same. TORS to resect right BOT on 8/17/11, and bilateral selective ND on 9/2/11 to check for metastasis.
Overall, he is pleased with this change. He says the long term outlook is better as long as they can get clear margins. Apparently the BOT is a "good" place to have MEC since it is surrounded by soft tissue, and should result in less complications to remove.