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As an expert in maxillofacial and plastic surgery tasked with reviewing summaries, your focus should be on identifying whether CIMDL is recognized as a potential differential diagnosis in each summary. Here is the evaluation:
| Description | CIMDL | Probability |
| TEASER Summary | NO | N/A |
| MAIN Summary | YES | 1 |
CIMDL recognized in TEASER Summary: NO
CIMDL Diagnosis Probability: N/A
CIMDL recognized in MAIN Summary: YES
CIMDL Diagnosis Probability: 1
CONSENSUS2024
I apologize, but the provided case context seems to be incomplete or not in a recognizable format. Could you provide more specific symptoms or details about the patient’s condition? This information would be crucial to formulating a professional diagnosis or differential diagnoses. Please provide details like symptoms, duration, patient history, or any other relevant clinical information.
Signature:
TEASER02032025
Primary Diagnosis:
The most likely diagnosis is oral squamous cell carcinoma. Freud’s history reveals repeated lesions in the oral cavity, confirmed malignancies, and frequent recurrences, a classic presentation for this type of cancer. The chronic ulceration, trismus, and lymph node involvement further support this diagnosis. The heavy tobacco use was a significant risk factor for developing oral cancer.
Differential Diagnoses:
- Cocaine-Induced Midline Destructive Lesion (CIMDL): Although Freud used cocaine, the absence of nasal perforation and destruction of turbinates makes this unlikely.
- Osteoradionecrosis: Considered due to radiation exposure, but the primary malignancy is more consistent with the clinical findings.
- Chronic Granulomatous Disease: The repeated ulcerations could suggest this, but the clear malignant nature leans against it.
CIMDL Diagnosis:
Scale: 1
Considering Freud’s cocaine use, the likelihood of CIMDL is low. The absence of nasal septal perforation and turbinate destruction, which are cardinal signs of CIMDL, diminishes its probability, despite the documented nasopalatal symptoms.
MAIN02032025
Termin vereinbaren
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