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Daily practice: CT
Female, 89 years
Since several months painful mouth
Examination:
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Lesion soft palate
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3,0 cm (T2)
Biopsy: Squamous cell carcinoma (SCC)
Radiological work-up
Chest X-ray
–
Normal
US Neck
–
Normal nodes
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No FNAC
CT Neck
Soft tissue window
Bone window
Multidisciplinary H&N meeting
T2N0 maxillar ca.
Treatment
–
Partial maxillectomy
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Palatal obturator
Path report: verrucous ca. Ø 4,8 cm, near
positive surgical ventral margin (<1mm)
Conclusion
:
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pT3N0M0
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In view of age: clinical follow-up (no post-op RT)
Objectives
Ultrasound
Panoramic dental X-ray
CT
MRI
Magnetic resonance imaging (MRI)
Advantages:
•
No radiation
•
Allergies to iv contrast (Gadolinium) extremely rare
•
Superior soft tissue contrast (vs. CT)
•
Less dental filling metallic artifacts
Disadvantages:
•
Limited availability; expensive
•
Long acquisition time => ↑motion degradation
•
More contraindications (claustrophobia, ICD, CI, etc.)