EURORAD ESR

Case 1359

Recurrent laryngeal cancer after total laryngectomy

Author(s)
R. Hermans
 
Patient
male, 45 year(s)
 
 
  • Figure 1
    Tongue base/anastomosis neopharynx-oropharynx

    Pharynx at anastomosis between neopharynx and oropharynx (arrow). A large, inhomogenously enhancing soft tissue mass is seen in the floor of the mouth and tongue base (arrowheads): tumour recurrence. Largely fatty...

     
    Area of Interest: unknown; Imaging Technique: Tongue base/anastomosis neopharynx-oropharynx;
     
     
  • Figure 2
    Tongue base/proximal neopharynx

    Inhomogenously enhancing soft tissue mass in tongue base (arrowheads), reaching against proximal neopharynx (arrow). Strongly enhancing right submandibular salivary gland (sm): radiation sialadenitis. Soft tissue...

     
    Area of Interest: unknown; Imaging Technique: Tongue base/proximal neopharynx;
     
     
  • Figure 3
    Level of thyroid gland

    The neopharynx is seen lying between both thyroid lobes (arrows). The thyroid isthmus was resected during the laryngectomy. The inhomogenous appearance of the thyroid lobes is caused by nodular hyperplasia. Note again...

     
    Area of Interest: unknown; Imaging Technique: Level of thyroid gland;
     
     
Pharynx at anastomosis between neopharynx and oropharynx (arrow). A large, inhomogenously enhancing soft tissue mass is seen in the floor of the mouth and tongue base (arrowheads): tumour recurrence. Largely fatty involuted soft tissue flap (asterisk). The sternocleidomastoid muscle is recognised on the right side (scm), but is absent on the left side (resected during radical neck dissection).
 
Inhomogenously enhancing soft tissue mass in tongue base (arrowheads), reaching against proximal neopharynx (arrow). Strongly enhancing right submandibular salivary gland (sm): radiation sialadenitis. Soft tissue flap (asterisk). The internal carotid artery (ica) and external carotid artery (eca) are indicated on the left. The internal jugular vein (ijv, right side) is missing on the left side (resected during radical neck dissection).
 
The neopharynx is seen lying between both thyroid lobes (arrows). The thyroid isthmus was resected during the laryngectomy. The inhomogenous appearance of the thyroid lobes is caused by nodular hyperplasia. Note again the absence of the internal jugular vein along the common carotid artery (cca).
 
 
 
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