Case Study Group 1 Head and Neck Cancer
Case Study Group 1 Head and Neck Cancer Case Study 90 Head and Neck Cancer Setting: Outpatient clinic, extended care facility Scenario You are a nurse working as a preoperative evaluation nurse. J.B., a well-known 62-year-old homeless alcoholic, is sent to you before a left radical neck dissection with total laryngectomy and placement of a permanent tracheostomy to treat stage III hypopharyngeal cancer. He has a long history of tobacco use, poor diet, and no dental care. Over the past several months, he has experienced increasing shortness of breath, hoarseness, and odynophagia. A piriform sinus mass was found on bronchoscopy. The large mass extends and is fixed to the left true vocal cord. His chest x-ray film is normal with the exception of changes related to chronic tobacco use. Past medical history includes reactive airway disease and hypertension.
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- February 3, 2023
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