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Carcinoma

Intratonsillar metastasis of EBV-positive nasopharyngeal carcinoma

January 22, 2016  |  Matthew R. Naunheim, MD, MBA; Linda N. Lee, MD; Harrison W. Lin, MD; Peter M. Sadow, MD, PhD; Daniel G. Deschler, MD

Abstract

We present the case of a 47-year-old man with a history of Epstein-Barr-virus-positive nasopharyngeal carcinoma who developed a metastasis to the palatine tonsil. To the best of our knowledge, this is the first reported case of an intratonsillar metastasis of a nasopharyngeal...

Management of sinonasal undifferentiated carcinoma with intracerebral invasion: Clinical experience at a single institution and review of the literature

January 22, 2016  |  Valerie Zielinski, MD; Simon Laban, MD; Silke Tribius, MD; Phillipe Schafhausen, MD; Simon Veldhoen, MD; Rainald Knecht, PhD; Till Clauditz, MD; Adrian Muenscher, MD

Abstract

Sinonasal undifferentiated carcinoma (SNUC) represents less than 1% of all malignancies. Most of the tumors are diagnosed at an advanced stage, when they have already invaded neighboring tissue structures. We describe the cases of 2 patients with a substantial intracerebral...

Reconstruction after resection of a lower lip squamous cell carcinoma with a submental island flap

December 14, 2015  |  Jin Pyeong Kim, MD; Hyun Woo Park, MD; Jung Je Park, MD; Seung Hoon Woo, MD

Abstract

Lip cancer is the most common malignancy of the oral cavity and the second most common cancer in the head and neck. Typically, squamous cell carcinoma of the lower lip is an ulcerated lesion with raised margins. Surgery is the best treatment for lower lip cancer. The lips are...

"Cannonball" delayed pulmonary metastases in parotid adenoid cystic carcinoma

October 31, 2015  |  David X. Liu, BS; Juan S. Gomez, MD; Enrique Palacios, MD, FACR; Jeremy Nguyen, MD

Optimal imaging studies for perineural invasion can be obtained with magnetic resonance imaging, which demonstrates abnormal enhancement of the cranial nerves involved.

Masseter flap for reconstruction of defects after excision of buccal mucosa cancers with intact mandible

October 31, 2015  |  Pankaj Chaturvedi, MS; Sandeep Lerra, MS(ENT); Farheen Ustad, MS; Prathamesh S. Pai, MS(ENT); Devendra A. Chaukar, MS; Anil K. D'Cruz, MS

Abstract

Among the reconstructive options available for buccal mucosa defects with an intact mandible, free flap with microvascular anastomosis is the best option. However, in the developing world, with poor resources, limited infrastructure, and high patient load, this cannot be...

Silastic injection for vocal fold medialization resulting in a false-positive finding on F18 FDG-PET/CT

September 21, 2015  |  Ayman Mahfouz, MBBS; Meeran Naji, MSc, MRCS, FRCR; Wing Yan Mok, BSc, MBBS, FRCR; Ali S. Taghi, MBBS, MD, FRCS(ORL-HNS); Zarni Win, MRCP, FRCR

Abstract

A false-positive uptake of F18-fluorodeoxyglucose (FDG) on positron-emission tomography/computed tomography (PET/CT) can result in confusion and misinterpretation of scans. Such uptakes have been previously described after injection of polytetrafluoroethylene (Teflon) into the...

Oncocytic mucoepidermoid carcinoma of the parotid gland: A case report and review of the literature

July 21, 2015  |  Deepali Jain, MD; Nabeen C. Nayak, MD

Abstract

Oncocytic metaplasia rarely has been reported in mucoepidermoid carcinomas. Most salivary gland lesions with oncocytic change are benign; therefore, it is important to distinguish mucoepidermoid carcinoma from other entities that may show prominent oncocytic change. We report a...

Salivary gland adenoid cystic carcinoma

July 21, 2015  |  Lester D.R. Thompson, MD

Tumors are poorly circumscribed with an infiltrative border, including extracapsular extension beyond the salivary gland.

Sinonasal undifferentiated carcinoma as a third primary neoplasm: A case report and review of the literature

April 28, 2015  |  John J. Chi, MD; Michael D. Feldman, MD; James N. Palmer, MD

Abstract

A 71-year-old man with a history of a pituitary prolactinoma and metastatic pancreatic carcinoma presented with epistaxis, visual changes, bilateral ophthalmoplegia, involuntary closure of the left eye, and ptosis of the right eye. The patient was found to have a soft-tissue...

Guidelines for squamous cell carcinoma of the head and neck: A systematic assessment of quality

April 28, 2015  |  Yanming Jiang, MD; Xiao-Dong Zhu, PhD; Song Qu, PhD; Ling Li, MD; Zhirui Zhou, MD

Abstract

We conducted a study to evaluate the quality of guidelines for squamous cell carcinoma of the head and neck (SCCHN) with the exception of nasopharyngeal cancer. Electronic searches were conducted of the U.S. National Guideline Clearinghouse, the Canadian Medical Association...

Acinic cell carcinoma of the posterior wall of the pharynx

April 28, 2015  |  Gökhan Erpek, MD; Ceren Günel, MD; Ibrahim Meteoğlu, MD

Abstract

Acinic cell carcinoma accounts for approximately 2 to 6% of all salivary gland tumors. It usually originates in the parotid gland; the minor salivary glands and the upper respiratory tract are involved only infrequently. We describe a case of acinic cell carcinoma of the...

Chronic discharging ear and multiple cranial nerve pareses: A sinister liaison

April 28, 2015  |  Mainak Dutta, MS; Dipankar Mukherjee, MS; Subrata Mukhopadhyay, MS

SCC of the temporal bone might well represent the extreme of the “inflammation-metaplasia-dysplasia-carcinoma” sequence, with chronic otitis media representing the inflammation.

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