Marin Alisa McDonald MD, PhD, Presenter: Nothing to Disclose

Julie Bykowski MD, Abstract Co-Author: Nothing to Disclose

CT and MRI serve important roles in the evaluation of locoregional spread of non-melanoma head and neck cutaneous malignancies. Accurate imaging diagnosis of recurrence requires understanding of local, lymphatic and perineural pathways and correlation with clinical symptoms.

Table of contents:   Review of NCCN guidelines for surgical and/or adjuvant treatment of non-melanoma head and neck cutaneous malignancies based on stage and pathological grade. Case series illustrating the role of CT and MRI in the assessment of large, deeply invasive cutaneous malignancies, suspected recurrence, nodal metastasis, and suspected perineural spread. Specific cases will include: Direct soft tissue, parotid gland and osseous invasion Occipital and parotid nodal metastases Extracranial perineural extension (Fig 1-3) Intracranial perineural extension Dural invasion (Fig 4) Orbital extension and recurrence after exenteration (Fig 5) Recurrence presenting as non-healing soft tissue ulceration Osteoradionecrosis Presentation and recurrence in immunocompromised/immunosuppressed patients Brief self-assessment test to consolidate the basic principles and approach for successful diagnosis.

http://abstract.rsna.org/uploads/2014/14016678/14016678_6m4g.pdf

McDonald, M, Bykowski, J, Beyond Skin Deep: Role of CT and MR in the Evaluation of Cutaneous Malignancies of the Head and Neck.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14016678.html