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Squamous Cell Cancer of the Neck Contemporary Issues in Cancer Imaging 1st Edition by Robert Hermans ISBN 0521886910 9780521886918

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Squamous Cell Cancer of the Neck Contemporary Issues in Cancer Imaging 1st Edition Robert Hermans Digital Instant Download

Author(s): Robert Hermans
ISBN(s): 9780521886918, 0521886910
Edition: 1
File Details: PDF, 7.55 MB
Year: 2008
Language: english
SKU: EB-2185278 Category: Tag:

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ISBN 10: 0521886910 
ISBN 13: 9780521886918
Author: Robert Hermans

Imaging studies provide crucial information on disease extent in head and neck malignancies. A thorough knowledge of the loco-regional anatomy of this complex area and a proper understanding of the natural disease spread pattern are prerequisites in the interpretation of these imaging studies. Tumor extent influences tumor staging, predicts outcome and influences treatment choices. Knowledge of the different treatment options and expected post-therapeutic tissue changes are also critical in order to use imaging adequately in the surveillance of these patients. After an introductory chapter on epidemiology and clinical signs, this book reviews the pertinent imaging findings for each of the major anatomical subsites. Emphasis is on CT and MRI, but PET and ultrasound are also discussed where appropriate. Reviews on modern surgical and radiotherapeutic techniques are included, helping the reader to understand post-treatment tissue changes and how to differentiate these from tumor recurrence or treatment complications.

Squamous Cell Cancer of the Neck Contemporary Issues in Cancer Imaging 1st Table of contents:

1 Introduction: epidemiology, pathology and clinical presentation
Epidemiology: frequency measures and risk factors
Incidence
Risk factors
Pathology
Epithelial neoplasms of the mucous membranes
Premalignant lesions
Malignant lesions
Clinical presentation
Clinical presentation at diagnosis
Clinical aspects of follow-up after diagnosis and successful treatment of malignant disease
Conclusions
Acknowledgements
References
2 Radiotherapy and chemoradiotherapy of the head and neck
Introduction
(Chemo)radiotherapy in head and neck cancer
Selection of a treatment modality
Radiation therapy alone
Combined surgery and radiation therapy
Chemoradiotherapy
Novel targeted therapies
Toxicity and complications of chemoradiotherapy
Imaging needs in conformal radiation therapy
Use of imaging modalities in defining the target
Anatomical information
Functional/biological information
Use of imaging modalities in treatment verification and adaptation
Conclusions
References
3 Surgery of the orocervical region
Introduction
Management of cervical metastasis
Oral cavity cancer
Tumors of the oropharynx
Tumors of the larynx
Tumors of the hypopharynx and cervical esophagus
Conclusions
References
4 Laryngeal and hypopharyngeal cancer
Introduction
Computed tomographic technique
Scan issues
Scan protocol and practical modalities
Dynamic maneuvers
Phonation
Valsalva maneuver
Laryngeal carcinomas
Supraglottic carcinomas
Glottic carcinomas
Subglottic carcinomas
Hypopharyngeal carcinomas
Superficial tumoral extension
Deep tumoral extension
Lymphatic extension
Magnetic resonance imaging
Conclusions
References
5 Oral cavity and oropharyngeal cancer
Introduction
Choice of modality and technique
Oral cavity
Lip
Gingiva, alveolar ridge and buccal mucosa
Retromolar trigone
Floor of mouth
Oral tongue
Hard palate
Oropharynx
Tonsillopharyngeal region
Base of tongue
Soft palate
References
6 Nasopharyngeal cancer
Introduction
Anatomy of the nasopharynx
Pathological anatomy and imaging
Anterior spread
Lateral spread
Posterior spread
Inferior spread
Superior spread
Volume of nasopharyngeal carcinomas
Metastasis
Post-treatment imaging
Tumor recurrence
Complications of therapy
Neurological complications
Radiation-associated tumors
Bone changes
Conclusions
References
7 Neck and distant disease spread
Nodal metastases
Background
Morphological imaging of nodal metastases
Criteria for diagnosis of a metastatic node
Size
Shape
Internal architecture
Image-guided biopsy
Strategy for imaging and impact on management
Functional imaging of nodal metastases
Positron emission tomography
Functional magnetic resonance imaging
Diffusion-weighted imaging
Dynamic contrast-enhanced imaging
Proton magnetic resonance spectroscopy
Ultrasmall super paramagnetic iron oxide particles
Distant disease spread
Incidence and sites of spread
Imaging distant metastases
Conclusions
References
8 Post-treatment imaging
Introduction
Expected tissue changes after radiotherapy
Expected tissue changes after surgery
Surveillance imaging of the primary tumor site
Imaging of nodal disease after (chemo)radiotherapy
Impact of post-treatment imaging on patient survival
Treatment complications
Complications after surgery
Complications after radiotherapy
Mandibular osteoradionecrosis
Laryngeal necrosis
Other complications after radiotherapy

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