Page 28 - PowerPoint Presentation
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Management














     Biopsy of all suspicious lesion







     Ultrasound                           guided                   fine             needle

         aspiration for cytology of suspicious


         regional lymph node enlargement to


         rule out metastasis







     Contrast MRI and whole-body PET-CT

         for disease staging








     Treatment


           Excision                 with            3cm             circumferential


              margins as well as adequate deep

              margin







           Frozen               section              is      used            to       ensure

              adequate                          microscopic                           tumour

              clearance prior to wound closure







           Adjuvant                      radiotherapy                        may               be

              warranted
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