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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Advise Proper Treatment For Tumor In The Mouth

Hello Doctor ,
Hello Sir,
I wanted to get your opinion regarding my mothers case as she is being treated at Rajiv Gandhi Cancer Institute and Research Center since January 2011. She is under the care of Dr. A.K. Diwan in this hospital and we have been continuously and diligently following up all the appointments.
I will describe to you the flow the events
January 2011 : There was a tumour on the left side of the Tongue and it was operated .
24 October – 9th December 2013: There was a Tumour found on the right side of the tongue and there was 35 sessions of External Radiation Therapy done. (Report Attached)
March 2014 : There were series of test done along with biopsy done and there was no Malignancy found. (Report Attached)
April 2014 : There was a incisional biopsy done and a tooth was extracted as it was continuously giving pain to my mother. The initial report of biopsy looks fine but this super fluous biopsy gives the report as ‘Carcinoma in Situ’ which Dr. Diwan suggested that as of 23rd April 2014 that it does not look cancerous. He has also asked us to get a second opinion on the biopsy report and prescribed a medicine. I have attached all the reports in files attached.
We want to make sure that the treatment plan is as expected.
Appreciate a quick response from you.
Thanks
Neha
Mon, 28 Apr 2014
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Dentist, Oral and Maxillofacial Surgery 's  Response
hello thanks for consulting at hcm..c-in-situ refers to Stage 0 (Carcinoma in Situ)
In stage 0, abnormal cells are found in the lining of the lips and oral cavity. These abnormal cells may become cancer and spread into nearby normal tissue. either ways get advanced investigations like pet scan,,kindly get an another opinion regarding the biopsy..with an good oral pathologist and ur oral oncologist..hope it helps,,tc..
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Advise Proper Treatment For Tumor In The Mouth

hello thanks for consulting at hcm..c-in-situ refers to Stage 0 (Carcinoma in Situ) In stage 0, abnormal cells are found in the lining of the lips and oral cavity. These abnormal cells may become cancer and spread into nearby normal tissue. either ways get advanced investigations like pet scan,,kindly get an another opinion regarding the biopsy..with an good oral pathologist and ur oral oncologist..hope it helps,,tc..