Easily detected signs of perineural tumour spread in head and neck cancer
Publication date
2018-12-01
Authors
Dankbaar, Jan Willem
Pameijer, Frank A
Hendrikse, Jeroen
Schmalfuss, Ilona M.
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Document Type
Article
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Abstract
Perineural tumour spread (PNTS) in head and neck oncology is most often caused by squamous cell carcinoma. The most frequently affected nerves are the trigeminal and facial nerves. Up to 40% of patients with PNTS may be asymptomatic. Therefore, the index of suspicion should be high when evaluating imaging studies of patients with head and neck cancer. This review describes a "quick search checklist" of easily detected imaging signs of PNTS. TEACHING POINTS: • A distinctive feature of head and neck tumours is growth along nerves. • Perineural tumour spread is most often caused by squamous cell carcinoma. • There are several key findings for the detection of perineural tumour spread.
Keywords
Head and neck, Imaging, Oncology, Perineural tumour spread, Radiology Nuclear Medicine and imaging, Review, Journal Article
Citation
Dankbaar, J W, Pameijer, F A, Hendrikse, J & Schmalfuss, I M 2018, 'Easily detected signs of perineural tumour spread in head and neck cancer', Insights into Imaging, vol. 9, no. 6, pp. 1089-1095. https://doi.org/10.1007/s13244-018-0672-8