ENT H&N F/U Patient Clinic Letter

**Diagnosis** Right tonsillar squamous cell carcinoma, pT2N1M0, treated with radical tonsillectomy and neck dissection on 12/03/2023, followed by adjuvant chemoradiotherapy completed on 08/08/2023. **Current Issues** 1. Mild xerostomia. 2. Occasional mild odynophagia. 3. Intermittent mild neck stiffness. **Background** Right tonsillar squamous cell carcinoma. Past Medical History: Hypertension, Hypercholesterolemia. Previous ENT surgical procedures: Radical tonsillectomy and neck dissection (12/03/2023). Investigations: CT neck and chest (01/09/2024): No evidence of recurrence or distant metastasis. **Impression** No clinical features to suggest local or regional recurrence. **Plan** Next appointment in Head and Neck Clinic in 3 months. **Requested GP Actions** Continue current medications. **Assessment** We met in our Head and Neck Clinic today, alongside the patient's wife, Sarah. Also present were Dr. Emily Carter, Consultant Oncologist, and Nurse Practitioner, John Smith. You reported mild xerostomia, occasional mild odynophagia, and intermittent mild neck stiffness. You underwent treatment for right tonsillar squamous cell carcinoma, including surgery and adjuvant chemoradiotherapy. The CT scan of your neck and chest, performed on 01/09/2024, showed no evidence of recurrence or distant metastasis. We discussed your current symptoms and ongoing management. Examination Findings: Oral cavity and oropharynx: No evidence of recurrent disease. Neck: No palpable lymphadenopathy. We will continue to monitor your condition closely. Your next appointment is scheduled for three months from today. **Copy to:** Dr. Emily Carter, Consultant Oncologist; Please see this patient for ongoing oncology follow-up. Speech and Language Therapy; Please assess the patient for swallowing and speech difficulties. Audiology Department; Please assess the patient for hearing loss.