Treated squamous cell carcinoma of the left upper alveolus that grew around an implant, status post left infrastructure maxillectomy and left neck dissection with STSG. Pathology demonstrated invasion into bone and pathologic stage was T4aN0M0, - margins, but + perineural invasion, treated with XRT. The patient subsequently developed a second primary tumor in the left lateral tongue (pT1N0 squamous cell carcinoma with PNI), status post re-excision of close margins. There are postoperative findings related to infrastructure left maxillectomy, left neck dissection, and left lateral glossectomy. There is no evidence of measurable enhancing mass lesions in the treatment bed. There is a left mandibular dental implant. There is no evidence of significant lymphadenopathy in the neck. The thyroid and remaining salivary glands are unremarkable. The imaged intracranial structures and orbits are unremarkable. There is mild multilevel degenerative spondylosis in the lower cervical spine.
Post-treatment findings centered in the left oral cavity region with no evidence of gross residual tumor or significant lymphadenopathy in the neck.