EURORAD ESR

Case 1616

Reconstructive surgery in a patient with cancer of the mobile portion of the tongue

Author(s)
Sigal R, Kolb F, Jaw J
 
Patient
male, 37 year(s)
 
 
  • Figure 1
    Initial assessment

    A contrast-enhanced axial CT scan. An enhancing lesion of the left mobile portion of the tongue (arrow) is displayed.

     
    Area of Interest: unknown; Imaging Technique: Initial assessment;
     
     
  • Figure 2
    Initial assessment

    A Gd-enhanced fat suppressed T1-weighted axial MR view. The contrast-enhancing lesion crosses the anterior midline (arrow).

     
    Area of Interest: unknown; Imaging Technique: Initial assessment;
     
     
  • Figure 3
    A post-therapeutic assessment

    An image of the contrast-enhanced axial CT, baseline examinations performed 6 months after the treatment. The fatty portion of the flap is displayed as a low attenuation area (red arrow), the base of the tongue is...

     
    Area of Interest: unknown; Imaging Technique: Post therapeutic assessment;
     
     
  • Figure 4
    A post-therapeutic assessment

    A T1-weighted axial MR view. Baseline examinations performed 6 months after the treatment. The fatty portion of the flap shows a typical high signal intensity area (red arrow), whereas the superficial cutaneous and...

     
    Area of Interest: unknown; Imaging Technique: Post therapeutic assessment;
     
     
  • Figure 5
    A post-therapeutic assessment

    Cine MR. Fast T2-weighted sagittal MR views. Each image is acquired in 1.2 sec. The patient swallows water through a pipe. The dynamic of the base of the tongue is preserved (green arrow). The flap (red arrow) does...

     
    Area of Interest: unknown; Imaging Technique: Post therapeutic assessment;
     
     
  • Figure 6
    A post-therapeutic assessment

    A photograph, 1 month after the treatment. The flap appears relatively swollen (red arrows) because it is infiltrated by post-therapeutic edema.

     
    Area of Interest: unknown; Imaging Technique: Post therapeutic assessment;
     
     
  • Figure 7
    A post-therapeutic assessment

    A photograph, 6 months after the treatment. The flap is not infiltrated anywhere by edema (red arrows).

     
    Area of Interest: unknown; Imaging Technique: Post therapeutic assessment;
     
     
  • Figure 8
    Relapse
     

    A scan of the contrast-enhanced axial CT, follow-up examination performed 18 months after the treatment. A right low attenuation lesion is displayed (red arrow) invading the parapharyngeal space with a mass effect (or...

     
    Area of Interest: unknown; Imaging Technique: Relapse;

    A metastatic lesion, with heterogeneous contrast enhancement is visualized in the right lateral pterygoid muscle (red arrows).

     
    Area of Interest: unknown; Imaging Technique: Relapse;

    A metastatic lymph node is also displayed in the submental left space.

     
    Area of Interest: unknown; Imaging Technique: Relapse;
     
     
A contrast-enhanced axial CT scan. An enhancing lesion of the left mobile portion of the tongue (arrow) is displayed.
 
A Gd-enhanced fat suppressed T1-weighted axial MR view. The contrast-enhancing lesion crosses the anterior midline (arrow).
 
An image of the contrast-enhanced axial CT, baseline examinations performed 6 months after the treatment. The fatty portion of the flap is displayed as a low attenuation area (red arrow), the base of the tongue is normal (green arrow).
 
A T1-weighted axial MR view. Baseline examinations performed 6 months after the treatment. The fatty portion of the flap shows a typical high signal intensity area (red arrow), whereas the superficial cutaneous and subcutaneous portions have a low signal intensity (green arrows).
 
Cine MR. Fast T2-weighted sagittal MR views. Each image is acquired in 1.2 sec. The patient swallows water through a pipe. The dynamic of the base of the tongue is preserved (green arrow). The flap (red arrow) does not display the normal motion of the mobile portion of the tongue.
 
A photograph, 1 month after the treatment. The flap appears relatively swollen (red arrows) because it is infiltrated by post-therapeutic edema.
 
A photograph, 6 months after the treatment. The flap is not infiltrated anywhere by edema (red arrows).
 
A scan of the contrast-enhanced axial CT, follow-up examination performed 18 months after the treatment. A right low attenuation lesion is displayed (red arrow) invading the parapharyngeal space with a mass effect (or invasion) of the masticator space.
 
A metastatic lesion, with heterogeneous contrast enhancement is visualized in the right lateral pterygoid muscle (red arrows).
 
A metastatic lymph node is also displayed in the submental left space.
 
 
 
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