This patient was treated with chemo- and radiotherapy for a
SCC of the inferior lip and gingiva, followed by a relapse
treated by surgery. A local relapse in the superior lip was
treated by limited resection.
She presents now with pain in the left V territory and a
suspicious burgeoning lesion in the left jugal area.
MRI is done with the following sequences : T1w SE axial and
coronal, T2w FSE with long TR, T1w SE post Gd with standard
and high resolution.
The extension towards the infratemporal fossa is patent and
may explain the involvement of the V3.
The tumour fills the left buccal vestibula and deeply
infiltrates its jugal side. But there is also extension
towards the maxillary side with effraction of the maxillary
sinus outer wall, best depicted by the high resolution
More anteriorly, inflammatory changes develop in the
Biopsy confirmed the relapse.
A new chemotherapy was given, but did not success and the
patient died 8 months later.