MedPix® Patient Chart - Case No: 13352 :: - Review Images

83 year old man with enlarging mass medial aspect of right orbit. Patient also suffers from increased tearing (epiphora).

Enhancing mass medial canthus.

- Review Images for PT: 13352

• 1.5 cm enhancing mass medial canthus right orbit.
• Obstruction of nasolacrimal duct by mass.

- Review Images for PT: 13352

• Lymphoma
• Metastatic disease
• Sarcoma
• Carcinoma

- Review Images for PT: 13352

Dx: Squamous cell carcinoma right orbit.

Dx Confirmed by: Surgery and pathological examination

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Surgical removal and radiation therapy.

Lesions/Condition: Malignant growth right pyriform fossa (squamous cell carcinoma moderately differentiated)


WHO Grade(s):Grade IV

Synonyms: Hypopharyngeal growth

Associations/Predisposing Factors: Smoking, and alcoholism

Common Locations: Lateral wall of pyriform fossa


Gross Morphology: Proliferative mass seen arising from the lateral wall of right pyriform fossa, filling the pyriform fossa. The mass could be seen extending to the postcricoid region. It is also sitting over the inlet of the larynx

Histology: Squamous cell carcinoma (moderately differentiated)


Gross Appearance: Proliferative mass seen arising from the lateral wall of right pyriform fossa

Radiology: CT scan axial, coronal cuts and reformatted lateral and Antero posterior views showed a radio opaque mass arising from the right pyriform fossa, filling it completely. The mass could be seen extending into the post cricoid region. The mass also could be seen occluding the inlet of the larynx.

Prognosis and Treatment: