Aims and objectives
Describe the imaging features of head and neck soft tissuessarcomas.
Identify radiologic signs suggesting malignancy.
Emphasize the importance of CT scan and MRI in planning treatment (loco regional extension).
Methods and materials
This study includes medical records of 10patients with soft tissue sarcomas of the head and neck region.
Thecases were collected over a period of 7 years from December 2010 to December 2017 and retrospectively reviewed through the Picture Archiving And Communicating System (PACS) of the radiology department of Salah Azaiezinstitute.
The search key words were “sarcomas”,
“Liposarcomas”,
"Fibrosarcomas”,
“Metastases”.
Two scan and one MRI machines were used.
Helical CT scans were performed before and after intravenous contrast agent administration using a power injector (80 to...
Results
Case No
Clinical features
1 Fig. 1
2
3
Age/Sex
41/F
24/F
47/M
Clinical presentation
Jugal swelling
Jugal swelling
Visual blur
Location of lesion
Masseter muscle
Masseter muscle
Orbit
Histological type
Synovialosarcoma
Rhabdomyosarcoma
Fibrosarcoma
Treatment
Wide surgical exision+chemotherapy
Chemotherapy+Radiation therapy
Wide surgical exision+Radiation therapy
Metastasis
No
No
No
Follow-up
Duration(months)
6
18
36
Result
Increased size of primary tumor
Recurrence
No recurrence
Case No
Clinical features
4
5
6
Age/Sex
67/F
44/M
26/M
Clinical presentation
Cervico thoracic swelling
Gingival swelling
Gingival swelling
Location of lesion...
Conclusion
Head and neck soft tissue sarcomas are highly aggressive malignant neoplasms that may be fatal if not diagnosed and managed properly.
Biopsy with histopathologic proof andradiologic findings following a complete history and physical examination leads to correct diagnosis and successful treatment.
References
1-Millare GG,
Guha-Thakurta N,
Sturgis EM,
El-Naggar AK,
Debnam JM.
Imaging Findings of Head and Neck Dermatofibrosarcoma Protuberans.AJNR Am J Neuroradiol.
2013 Aug 1.
2-Romañach MJ,
León JE,
de Almeida OP,
Carlos R.
Soft tissue sarcomas of the head and neck.SADJ.
2012 Nov.
67(10):582-4
3-Gopalakrishnan V,
Amini B,
Wagner MJ,
et al.
Synovial Sarcoma of the Head and Neck: A Single Institution Review.Sarcoma.
2017.
2017:2016752.
4-Koch BB,
Karnell LH,
Hoffman HT,
et al.
National cancer database report on chondrosarcoma of the head and neck.Head Neck....