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《CT imaging for soft tissue tumors of the neck》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。
1、AmandaA.Muñoz,HMSIIIGillianLieberman,MDCTImagingforSoftTissueTumorsoftheNeckAmandaMuñoz,HMSIIIGillianLieberman,MDAmandaA.Muñoz,HMSIIIGillianLieberman,MDOverview•AnintroductionviathecaseofourpatientCB•TheMenuofTestsavailabletoevaluateaneckmass•Anoverviewofneckanatomy•TheDDxofsofttissuemassesinth
2、eneck•Radiographiccharacteristicsofneckmasses•Examplesofvariousneckmassesfromdifferentpatients•ExaminationofCB’sscan•AwordaboutCB’sfindings2AmandaA.Muñoz,HMSIIIGillianLieberman,MDBeginningwith“OurPatient”CB•51yoMh/oHTN,cholp/wRtonguelesion1/04•Bx2/04c/wmetastaticclearcellrenalcarcinoma•CTofneck
3、,thorax,abdomenperformedforstaging–12x10cmRrenalmasswithRrenalveinclot–2nodulesintheLlingula–Enlargedlymphnodes:cervical,pretracheal,hilar,pericaval,periaortic,retrocaval,retroperiotneal–Assymmetryoftheoropharynxandhypopharynxw/odefinablemass•Normalliver,spleen,adrenals,pancreas•Nobonylyticorsc
4、leroticlesions•BrainMRInegativeforanyintracranialmetastases3CourtesyDr.DavidHackneyAmandaA.Muñoz,HMSIIIGillianLieberman,MDMoreaboutCB•Rradicalnephrectomyandlymphadenectomy2/04•pathologyc/wclearcellcarcinomaofthekidney•recoveredwellfromsurgery•presentstoBIDMC5/04toexploretreatmentoptions•Deniesr
5、ecentF/C/NS,N/V/D,CP,SOB,flankpain,hematuria,dysuria,edema,neurologicsx.Doesreport8lbweightlossover1month.4CourtesyDr.DavidHackneyAmandaA.Muñoz,HMSIIIGillianLieberman,MDCB’sPhysicalExam•nopalpableLAD•PalpablemassintheRanteriorneck•CNII-XIIintactCTscanperformedtoevaluateextentofcurrentdiseasefor
6、therapyguidance5CourtesyDr.DavidHackneyAmandaA.Muñoz,HMSIIIGillianLieberman,MDTheMenuofTestsforNeckImagingModalityUtilityMosteffectivefortissuediscrimination,CTspatialresolution,staging,masseffect,treatmentplanning,monitoringresponseUltrasoundCharacterizecysticorvascularmassesAngiographyPre-ope
7、mbolizationPET/radio-Imageneoplasms,thyroidnodulesnuclidescansDifficultdiscriminationbetweenneoplasmandMRInormaltissueCXRNotusedfordiagnosisEskey,RadClinNAm,p.10916AmandaA.Muñoz,HMSIIIGillianLieberman,MDTrianglesforCliniciansClini
