2016_Head & Neck COURSE BOOK

Daily practice: MRI

Radiological work-up

 Chest X-ray: normal  US Neck:

 Male, 65 years  42 pack years  Recently extraction 48 – No healing  Examination: – Tumor right gingival ridge – 2,5 x 3,5cm (T2) – Invasion of mandible? (T4a)  Biopsy: Squamous cell carcinoma (SCC)

– FNAC right neck Level I / II – Cytology report: no malignant cells  Panoramic dental X-ray

 MRI

Multidisciplinary H&N meeting

 T4aN0 right gingival carcinoma  Treatment – Segmental mandibular resection – Neck dissection level I-III  Path report – Tumor excision: radical – Neck dissection level I-III: no lymph node mets  Conclusion : – pT4aN0M0 – Clinical follow-up (no post-operative RT needed)

T1

T2

T1 + C + FS

Objectives

Imaging work-up

 Ultrasound

CT, MR (PET etc.)

 Panoramic dental X-ray

Frank Pameijer, MD, PhD

 CT

o Departmentsof Radiology and Radiation Oncology

o University Medical Center, Utrecht

The Netherlands

o

 MRI

No disclosures

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