Читать книгу Essential Cases in Head and Neck Oncology - Группа авторов - Страница 4

1 Chapter 1FIGURE 1.1 This photo demonstrates the patient's right lateral tongue ulcera...FIGURE 1.2 This image shows the patient's fused CT‐ lymphoscintigraphy image...FIGURE 2.1 This photo demonstrates the ulcerative mucosal lesion of the righ...FIGURE 2.2 These axial images are from the patient's CT (a, b) as well as th...FIGURE 3.1 Axial (a) and coronal (b) cut of the primary lesion. Note there i...FIGURE 3.2 Axial cut of the neck portion of the CT demonstrating the patholo...FIGURE 3.3 Intraoperative photo of the right oral cavity defect after surgic...FIGURE 4.1 This intraoral photograph shows the lesion of the patient's left ...FIGURE 4.2 CT scan shows an extensive and destructive process of the left ma...FIGURE 5.1 The patient’s lower lip mass. The tumor extendsfrom the right Co...FIGURE 5.2 These representative axial cuts for the patient's neck CT with IV...FIGURE 5.3 This intraoperative photo shows the patient's total lower lip def...FIGURE 5.4 Bernard-Webster bilateral advancement flap reconstruction.FIGURE 6.1 This transoral photograph shows mild submucosal fullness of the l...FIGURE 6.2 An axial T1‐weighted MRI image without contrast (a) and a coronal...FIGURE 6.3 These intraoperative images show the surgical approach transorall...FIGURE 6.4 This intraoperative photo shows the palate defect after reconstru...

2 Chapter 2FIGURE 7.1 This is a fused axial image of a PET/CT scan at the level of the ...FIGURE 8.1 These axial images of the fused PET/CT (left) and CT of the neck ...FIGURE 9.1 This image from a transnasal fiberoptic laryngoscopy shows no obv...FIGURE 9.2 A contrast‐enhanced CT of the neck demonstrates a solitary, enlar...FIGURE 9.3 A PET/CT demonstrates no distant metastatic sites but shows focal...FIGURE 9.4 Histologic images of a poorly differentiated squamous cell carcin...FIGURE 10.1 AxialAxial CT image.FIGURE 10.2 18FDG‐PET/CT axial view demonstrating an intense right tonsil tu...FIGURE 10.3 This intraoperative photo demonstrates an open approach to the o...FIGURE 11.1 A CT of the neck was performed with intravenous contrast. There ...FIGURE 11.2 This is an axial cut of the patient's PET/CT. There is slight so...FIGURE 11.3 This intraoperative photo shows the resection bed following a ro...

3 Chapter 3FIGURE 12.1 This axial cut of a T1‐weighted MRI of the skull base demonstrat...FIGURE 13.1 (a) and (b) These photos from the patient's fiberoptic nasophary...FIGURE 13.2 This figure shows enlargement of the adenoid tissue and lingual ...FIGURE 13.3 This is a representative fused axial image from the patient's PE...FIGURE 14.1 (a) and (b) On these representative contrast‐enhanced axial cuts...FIGURE 14.2 There is no obvious mucosal‐based primary tumor, but there is a ...FIGURE 14.3 Operative nasopharyngolaryngoscopy indicates a slight fullness a...FIGURE 15.1 Endophytic ulcerative lesion on the right lateral aspect of the ...FIGURE 15.2 Right nasopharyngeal mass on CT scan without bony invasion.

4 Chapter 4FIGURE 16.1 CT scan with contrast demonstrated exophytic mass of the right A...FIGURE 16.2 Direct laryngoscopy demonstrating an exophytic mass arising from...FIGURE 17.1 Fiberoptic scope examination indicating an ulcerative mass of th...FIGURE 17.2 CT scan of the neck with contrast demonstrates a glottic tumor w...FIGURE 17.3 Laryngectomy and bilateral neck dissection specimen.FIGURE 18.1 Fiberoptic nasolaryngoscopy demonstrating right glottic tumor.FIGURE 18.2 CT scan of the neck indicating an enhancing mass involving the r...FIGURE 18.3 Intraoperative photograph demonstrating the radial forearm free ...FIGURE 19.1 Intraoperative photo demonstrating an exophytic lesion of the ri...FIGURE 19.2 Intraoperative photo demonstrating the surgical field following ...FIGURE 20.1 Flexible nasolaryngoscopic view of the glottis demonstrating the...FIGURE 20.2 Axial cuts of the CT scan of the neck with contrast indicates a ...FIGURE 20.3 Coronal and sagittal views of the mass demonstrate high‐grade ob...FIGURE 21.1 Flexible nasolaryngoscopy demonstrating the presence of a submuc...FIGURE 21.2 A CT scan of the neck with contrast indicates the presence of a ...FIGURE 21.3 High‐power H&E stain of a laryngeal chondrosarcoma (left) shows ...FIGURE 21.4 This schematic indicates the resection of this patient's tumor....

5 Chapter 5FIGURE 22.1 Intraoperative photo before transoral robotic removal of a poste...FIGURE 22.2 Intraoperative photo after transoral robotic removal of a poster...FIGURE 23.1 Transnasal flexible endoscopy indicates the presence of a mass e...FIGURE 23.2 In these axial cuts of a contrast‐enhanced CT of the neck, there...FIGURE 23.3 FDG PET/CT indicates uptake involving the left pyriform sinus ma...FIGURE 24.1 CT scan of the neck with contrast indicates a mass of the left p...FIGURE 24.2 Barium swallow after total laryngopharyngectomy with free flap r...

6 Chapter 6FIGURE 25.1 This transverse image from a thyroid ultrasound shows the right ...FIGURE 25.2 On FNA biopsy, smears contain scattered three‐dimensional sheets...FIGURE 25.3 Sections from the hemithyroidectomy specimen show a partially en...FIGURE 26.1 Thyroid ultrasound is performed that indicates a right lobe soli...FIGURE 26.2 A contrast‐enhanced CT scan of the neck confirms the presence of...FIGURE 27.1 This photo shows the patient's prominent right neck mass seen on...FIGURE 27.2 This transverse ultrasound image shows a hypoechoic lymph node w...FIGURE 28.1 This photo shows an area of fullness in the right neck represent...FIGURE 28.2 This is an axial CT scan of the neck with IV contrast demonstrat...FIGURE 28.3 This intraoperative image shows the right recurrent laryngeal ne...FIGURE 29.1 This is an axial CT scan of the neck without IV contrast showing...FIGURE 30.1 This axial CT scan of the neck with IV contrast shows a thyroid ...FIGURE 30.2 This figure shows an algorithm for the management of invasive th...FIGURE 30.3 (a) This intraoperative image demonstrates the tracheal resectio...FIGURE 30.4 These 2‐month bronchoscopic views at the level of the subglottis...

7 Chapter 7FIGURE 31.1 Thyroid US demonstrating a 1.1 × 0.6 × 0.5 cm ovid hypoechoic, h...FIGURE 31.2 4D CT scan views demonstrating an elongated nodule posterior to ...FIGURE 32.1 (a) 4D CT angio of the neck demonstrating right paratracheal enh...

8 Chapter 8FIGURE 34.1 This CT angiogram using contrast demonstrates a left neck mass i...FIGURE 34.2 These images from a 68‐gallium DOTATATE PET/CT are consistent wi...FIGURE 35.1 Coronal contrasted CT of the neck demonstrates an avidly enhanci...FIGURE 35.2 MRA reveals a 4.9 × 4.5 × 6.7 cm enhancing soft‐tissue mass at t...FIGURE 35.3 This image demonstrates the vascular nature of paragangliomas ev...FIGURE 35.4 Proximal control of the left internal jugular vein (blue loop, r...FIGURE 35.5 Careful dissection in the subadventitial plane has allowed dista...FIGURE 36.1 These are representative axial and coronal images from this pati...FIGURE 37.1 This otomicroscopic view of the right ear shows a vascular lesio...FIGURE 37.2 This is the audiogram obtained for this patient. It shows a mode...FIGURE 37.3 This is an axial cut of a temporal bone CT that demonstrates a l...FIGURE 37.4 This is an axial cut of a T1 weighted, contrast‐enhanced MRI of ...

9 Chapter 9FIGURE 38.1 This photo demonstrates the exophytic lesion of the patient's ri...FIGURE 39.1 This photo demonstrates the 3.5 cm ulcerative lesion of the pati...FIGURE 39.2 This cut of the patient's axial CT of the neck with IV contrast ...FIGURE 40.1 These representative axial and coronal T1‐weighted images after ...FIGURE 40.2 (a) and (b) These intraoperative photos show the right neck mass...FIGURE 41.1 (a) and (b) Axial and coronal views showing enhancement and enla...FIGURE 42.1 These axial and coronal cuts of a contrasted CT neck demonstrate...FIGURE 42.2 This clinical photo demonstrates a left supraclavicular mass, no...FIGURE 42.3 These respective axial and coronal cuts of a CT neck with IV con...FIGURE 42.4 This intraoperative photo shows the left supraclavicular teratom...

10 Chapter 10FIGURE 43.1 CT images of tracheal tumor: (a) Sagittal image demonstrating ma...FIGURE 43.2 Flexible bronchoscopy image of anastomotic site. Single arrowhea...FIGURE 44.1 Sagittal CT.FIGURE 44.2 Coronal CT.FIGURE 44.3 Axial CT.FIGURE 44.4 This image from the postoperative esophagram shows that no anast...FIGURE 44.5 These images of the patient's postoperative neck CT, soft‐tissue...FIGURE 45.1 Subglottic stenosis viewed on stroboscopy. Notice the smooth nat...FIGURE 45.2 The idiopathic subglottic stenosis is seen prior to dilation (a)...FIGURE 45.3 This bronchoscopic image was taken 3 months after the patient un...

11 Chapter 11FIGURE 46.1 This noncontrasted coronal CT demonstrates opacification of the ...FIGURE 46.2 This contrast enhanced T1‐weighted coronal MRI demonstrates an e...FIGURE 46.3 Biopsy reveals small, blue neoplastic cells with little cytoplas...FIGURE 46.4 Post‐treatment contrasted MRI demonstrating nasoseptal flap alon...FIGURE 47.1 These axial CT images demonstrate a mass in the posterior nasal ...FIGURE 47.2 Pathology shows a poorly differentiated invasive carcinoma, form...FIGURE 47.3 This T1‐weighted image (left) shows a tumor extending from the p...FIGURE 47.4 These fused axial images from the patient's 18‐FDG PET/CT shows ...FIGURE 48.1 These contrast‐enhanced coronal (a) and axial (b) images show a ...FIGURE 48.2 MRI (coronal T1‐weighted with contrast) demonstrated separation ...FIGURE 48.3 This intraoperative image shows a wide excision of the right che...FIGURE 48.4 This intraoperative endoscopic image shows the view of the maxil...FIGURE 48.5 Soft‐tissue reconstruction of the right cheek with staged parame...

12 Chapter 12FIGURE 49.1 This clinical photo demonstrates the patient’s ulcerative skin l...FIGURE 49.2 Histopathology slide of the punch biopsy. Copyright © 2012 Micha...FIGURE 49.3 This is a T1 weighted contrast‐enhanced MRI of the face.FIGURE 49.4 This intraoperative photo demonstrates the proposed incisions us...FIGURE 50.1 This photograph demonstrates the patient’s right temple cutaneou...FIGURE 50.2 This T2 weighted axial MRI demonstrates two suspicious lesion in...FIGURE 52.1 This photo demonstrates the lesion of the patient's preauricular...FIGURE 52.2 This is a small blue cell tumor seen on H&E (a). Stain for CK20 ...FIGURE 52.3 This intraoperative photo shows the methylene blue dye localized...FIGURE 53.1 This clinical photograph shows the lesion. It is approximately 9...FIGURE 53.2 This clinical photo shows the primary lesion with new evidence o...

13 Chapter 13FIGURE 55.1 This is an axial T2‐weighted image showing the middle portion of...FIGURE 56.1 This is a representative axial cut of a neck CT with IV contrast...FIGURE 56.2 This is a contrast‐enhanced T1‐weighted MRI in the axial plane. ...FIGURE 57.1 This clinical photo shows the patient's left parotid mass with i...FIGURE 57.2 Contrast‐enhanced CT of the neck demonstrates a large lesion fil...FIGURE 57.3 This is an intraoperative photo following a left‐sided radical p...FIGURE 58.1 This is a transoral view of the oropharynx demonstrating a nonin...FIGURE 58.2 This is a representative axial slice from this patient's CT of t...FIGURE 59.1 This photo demonstrates the patient's enlarged right parotid gla...FIGURE 59.2 This transoral photograph of the oropharynx shows medial displac...FIGURE 59.3 These are representative T1‐weighted cuts of an axial MRI of the...FIGURE 60.1 (a) The noncontrasted axial CT image shows a small lesion in the...

14 Chapter 14FIGURE 61.1 Contrasted CT imaging with representative coronal, sagittal, and...FIGURE 61.2 This is an intraoperative photo of the composite bone, soft tiss...FIGURE 62.1 This intraoperative photo shows the proposed outline of the soft...FIGURE 62.2 This intraoperative photo (a) demonstrates the use of a load‐bea...FIGURE 63.1 This clinical photograph shows the patient’s right lateral tongu...FIGURE 63.2 Depiction of tongue involvement with recurrent cancer.FIGURE 64.1 This intraoperative photo from the patient's microsuspension lar...FIGURE 64.2 (a) This intraoperative photo demonstrates the patient's salvage...FIGURE 65.1 This photo taken in the clinic shows the ulcerative skin lesion ...FIGURE 65.2 This is an axial image from the CT of the neck with IV contrast ...FIGURE 65.3 (a) This intraoperative photo shows the right cheek defect immed...FIGURE 65.4 This photo demonstrates the result following reconstruction with...