EURORAD ESR

Case 10521

Recurrent infiltrative cancer of the cheek: a case report

Author(s)
Fiorini S, Gabelloni M, Lorenzoni G, Cervelli R, Quaglia FM, Faggioni L, Bartolozzi C.

Diagnostic and Interventional Radiology,
University of Pisa, Italy.
 
Patient
male, 57 year(s)
 
 
  • Figure 1
    CT findings: 2D images
     

    Contrast-enhanced axial image shows the tumour infiltrating the right orbit.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Axial CT image shows erosion of the right nasal wing.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Coronal CT reformation reveals invasion of the right orbit and the loss of the ipsilateral alar cartilage.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Sagittal CT reformation shows another view of the tumor that infiltrates the orbit and the anterior wall of the maxillary sinus.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    CT findings: Volume Rendering images
     

    Volume rendering shows bone erosion of the anterior wall of the right maxillary sinus, right nasal wing, and anterior aspect of the right orbit floor

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Volume rendering shows bone erosion of the anterior wall of the right maxillary sinus, right nasal wing, and anterior aspect of the right orbit floor

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Volume rendering shows bone erosion of the anterior wall of the right maxillary sinus, right nasal wing, and anterior aspect of the right orbit floor

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 3
    PET findings
     

    PET shows increased 18F-FDG uptake in the same lesion site as revealed by CT.

     
    Area of Interest: Head and neck; Imaging Technique: PET; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    PET shows increased 18F-FDG uptake in the same lesion site as revealed by CT.

     
    Area of Interest: Head and neck; Imaging Technique: PET; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 4
    MRI findings: T1-weighted and FLAIR images
     

    Axial spin-echo T1-weighted image shows the tumour mass infiltrating the right nasal wing and the anterior wall of the ipsilateral maxillary sinus.

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Axial spin-echo T1-weighted image shows involvement of the right orbital fat.

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Sagittal FLAIR image shows lesion infiltration of the floor of the right orbit and the lower rectus muscle. The lesion also has a contact with the eyeball.

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 5
    MRI findings: T2-weighted images
     

    Axial spin-echo T2-weighted image shows the lesion infiltrating the skin, the right nasal wing and the ipsilateral maxillary bone.

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Axial spin-echo T2-weighted image shows the lesion infiltrating the skin, the right nasal wing and the anterior aspect of the right orbit floor.

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Coronal T2-weighted fat saturated image shows a large right paranasal mass approaching the right eyeball.

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
Contrast-enhanced axial image shows the tumour infiltrating the right orbit.
 
Axial CT image shows erosion of the right nasal wing.
 
Coronal CT reformation reveals invasion of the right orbit and the loss of the ipsilateral alar cartilage.
 
Sagittal CT reformation shows another view of the tumor that infiltrates the orbit and the anterior wall of the maxillary sinus.
 
Volume rendering shows bone erosion of the anterior wall of the right maxillary sinus, right nasal wing, and anterior aspect of the right orbit floor
 
Volume rendering shows bone erosion of the anterior wall of the right maxillary sinus, right nasal wing, and anterior aspect of the right orbit floor
 
Volume rendering shows bone erosion of the anterior wall of the right maxillary sinus, right nasal wing, and anterior aspect of the right orbit floor
 
PET shows increased 18F-FDG uptake in the same lesion site as revealed by CT.
 
PET shows increased 18F-FDG uptake in the same lesion site as revealed by CT.
 
Axial spin-echo T1-weighted image shows the tumour mass infiltrating the right nasal wing and the anterior wall of the ipsilateral maxillary sinus.
 
Axial spin-echo T1-weighted image shows involvement of the right orbital fat.
 
Sagittal FLAIR image shows lesion infiltration of the floor of the right orbit and the lower rectus muscle. The lesion also has a contact with the eyeball.
 
Axial spin-echo T2-weighted image shows the lesion infiltrating the skin, the right nasal wing and the ipsilateral maxillary bone.
 
Axial spin-echo T2-weighted image shows the lesion infiltrating the skin, the right nasal wing and the anterior aspect of the right orbit floor.
 
Coronal T2-weighted fat saturated image shows a large right paranasal mass approaching the right eyeball.
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version