Hypopharyngeal cancer CT: Difference between revisions

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Following irradiation CT can be challenging, as irradiated mucosa often becomes oedematous, and soft tissue fibrosis may develop, obliterating or distorting normal fat planes and potentially mimicking tumour involvement 5.
Following irradiation CT can be challenging, as irradiated mucosa often becomes oedematous, and soft tissue fibrosis may develop, obliterating or distorting normal fat planes and potentially mimicking tumour involvement 5.
 
<gallery>
 
Image:Left-piriform-fossa-mass-likely-scc_(3).jpg |Hypopharyngeal Squamous cell carcinoma<ref>Case courtesy of Dr Frank Gaillard, Radiopaedia.org, rID: 8891. http://radiopaedia.org/articles/hypopharyngeal-squamous-cell-carcinoma</ref></gallery>
[[Image:Left-piriform-fossa-mass-likely-scc_(3).jpg | 200px | Hypopharyngeal Squamous cell carcinoma]]<ref>Case courtesy of Dr Frank Gaillard, Radiopaedia.org, rID: 8891. http://radiopaedia.org/articles/hypopharyngeal-squamous-cell-carcinoma</ref>


==References==
==References==

Revision as of 13:41, 5 October 2015

Hypopharyngeal cancer Microchapters

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Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Hypopharyngeal Cancer from other Diseases

Epidemiology and Demographics

Risk Factors

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Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

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Electrocardiogram

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Faizan Sheraz, M.D. [2]

Overview

CT Scan

The primary tumour typically appears as a solid soft tissue nodule or region of superficial thickening with increased enhancement. When the tumour extends beyond the confines of the pharynx, the surrounding fat planes are obliterated. It should be noted however that such stranding may be due to an inflammatory response rather than necessarily representing tumour invasion 6.

Careful assessment of cervical lymph nodes is essential as up to 75% of patients with hypopharyngeal SCCs have nodal metastases at the time of diagnosis 6.

Following irradiation CT can be challenging, as irradiated mucosa often becomes oedematous, and soft tissue fibrosis may develop, obliterating or distorting normal fat planes and potentially mimicking tumour involvement 5.

References

  1. Case courtesy of Dr Frank Gaillard, Radiopaedia.org, rID: 8891. http://radiopaedia.org/articles/hypopharyngeal-squamous-cell-carcinoma

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