Case of the Week
Section Editors: Matylda Machnowska1 and Anvita Pauranik2
1University of Toronto, Toronto, Ontario, Canada
2BC Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada
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May 22, 2014
A 59-year-old man with prior history of laryngeal invasive squamous cell carcinoma treated 9 years ago with radiation. New primary in the right tonsil status post rituximab with concurrent stereotactic radiosurgery completed 9 months ago. Non-small cell carcinoma of the right upper lobe of the lung recently treated with Cyber-Knife stereotactic radio surgery 6 months ago. Patient is very thin, weighing 79 pounds; temporal wasting is seen. Sclera anicteric. No visual symptoms.
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