TATA MEMORIAL CENTRE

TATA MEMORIAL HOSPITAL

A GRANT-IN-AID INSTITUTE OF THE DEPARTMENT OF ATOMIC ENERGY, GOVT. OF INDIA
Parel East, Parel, Mumbai, Maharashtra 400012

CERTIFICATE NO: C/2018/001456 DATE: 15/04/2018

CERTIFICATE SERIES NO: CS/02891/1

REPORT

PATIENT NAME Mr. JIGAR SUBHASH DESAI AGE/SEX 31 Y/M

MR NO. MTMH00166633 VISIT NO. OP00209539
PARENT CATEGORY DMG – HEAD & NECK REFERRED BY SELF
RECEIVED NAME REPORTED DATE 25/03/2018
WARD NAME BED NO.

MRI FACE AND NECK(CEMR)

TECHNIQUE: MRI of face and neck done with T1 weighted sequences, PD weighted and STIR sequences in axial, coronal and sagittal
planes. Post contrast study done.

SPECIMEN : Left buccal mucosa biopsy

CLINICAL HISTORY : Ulcerative growth on Left cheek. Irregular growth left cheek.
GROSS : Received 1 grey brown soft tissue bit measuring 6 cm(AP) x 4 cm(W) x 4 cm (CC).
MICROSCOPY & IMPRESSION : Left buccal mucosa biopsy: Well differentiated Squamous Cell Carcinoma conventional.
HSTOPATH No. : [446276: Entire tissue Specimen - 1]

Imaging Findings:

Post operative FUC of the left lower alveolus with recurrence, the present MRI reveals resection of the right hemimandible. Large ill-
defined soft tissue enhancing mass lesion showing diffusion restriction on DWI sequence is noted at the operative site.
The mass measures ~ 6 cm(AP) x 4 cm(W) x 4 cm (CC). It is invading the entire left hemitongue with extension across the midline on
the neck. Bilateral lingual neurovascular bundles are involved by the mass lesion. The floor of the mouth is involved by the mass
lesion on neck side extending to the adjacent skin. Posteriorly, the vallecula is involved by the mass lesion with thickening of the
epiglottis and the aryepiglottic fold on the neck. The fatty atrophy of the muscles of mastication on neck.

Rest of the oropharynx is normal.

The nasopharynx is normal in MR morphology. No focal lesion seen.

Region of false and true vocal cord is normal. The anterior commissure appears normal.

Left sub-mandibular and bilateral parotid salivary glands are abnormal and post OP in MR morphology. Right sub-mandibular
gland is normal.

No significant cervical lymphadenopathy is seen.

Bilateral parapharyngeal spaces are normal.

Bilateral carotid vessel and UV are normal

 TATA MEMORIAL CENTRE

TATA MEMORIAL HOSPITAL

A GRANT-IN-AID INSTITUTE OF THE DEPARTMENT OF ATOMIC ENERGY, GOVT. OF INDIA
Parel East, Parel, Mumbai, Maharashtra 400012

CERTIFICATE NO : C/2018/001456 DATE: 15/04/2018

CERTIFICATE SERIES NO : CS/02891/1

COST CERTIFICATE

CASE FILE NO: CS/02891/1 DATE OF REGISTRATION: 25/03/2018 REGISTRATION: PRIVATE

CATEGORY
AGE: 29 GENDER: MALE

NAME OF PATIENT : Mr. JIGAR SUBHASH DESAI

DMG NAME : DMG – HEAD AND NECK(C)

DIEASES / DIAGNOSIS : Carcinoma of left Buccal Mucosa

PRESCRIBED TREATMENT : Chemotherapy

Surgery with reconstruction + Radiotherapy

ESTIMATED DURATION OF THERAPY : 2 Years

INTENT OF TREATMENT : Supportive

(CURATIVE/PALLIATIVE/SUPPORTIVE)

ESTIMATED TOTAL COST OF : 500,000

TREATMENT : RS. : FIVE LAKH ONLY

Senior Registrar / Consultant Medical Superintendent / Asst. Medical Superintendent

Dr. GAURAV SANKHE TATA Memorial Hospital / ACTREC
DMG – HEAD & NECK