Development of follicular lymphoma of the cervical lymph nodes in a postoperative patient with tongue cancer

Abstract Background This study aimed to evaluate the efficacy of three MR imaging parameters, which are tumour thickness, para-lingual distance and apparent diffusion coefficient (ADC) value for prediction of cervical lymph nodes metastasis in cancer tongue patients. Patients and methods Fifty patients with proved cancer tongue by histopathological examination underwent MRI examination. T1 and T2- weighted MRI, diffusion-weighted images and post-contrast T1 fat suppression sequences were used. Results The patients were classified according to lymph nodes involvement as seen by MRI into two groups. Significant differences between positive and negative nodes groups were observed regarding tumour thickness and para-lingual distance (p-values = 0.008 and 0.003 respectively). ROC curve analyses revealed cut-off values >13.8 mm and ≤ 3.3 mm for tumour thickness and para-lingual distance respectively for prediction of nodes involvement. No significant differences between patients with and without cervical lymph nodes metastasis were found regarding corresponding ADC value of the tumour (p-value = 0.518). Conclusions Para-lingual distance and tumour thickness are factors that could influence pre-operative judgment and prognosis of tongue cancer patients. ADC value of the tumour itself seem not to be a reliable index of cancer progression to regional lymph nodes.

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FDG-positive Warthin's tumors in cervical lymph nodes mimicking metastases in tongue cancer staging with PET/CT

Otolaryngology ◽

10.1016/j.otohns.2008.09.019 ◽

2009 ◽

Vol 140 (1) ◽

pp. 134-135 ◽

Cited By ~ 14

Author(s):

Esther Schwarz ◽

Sandra Hürlimann ◽

Jan David Soyka ◽

Lucia Bortoluzzi ◽

Klaus Strobel

Keyword(s):

Lymph Nodes ◽

Tongue Cancer ◽

Cancer Staging ◽

Cervical Lymph Nodes ◽

Pet Ct

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Advanced Clinical Usefulness of Ultrasonography for Diseases in Oral and Maxillofacial Regions

International Journal of Dentistry ◽

10.1155/2010/639382 ◽

2010 ◽

Vol 2010 ◽

pp. 1-10 ◽

Cited By ~ 21

Author(s):

Nao Wakasugi-Sato ◽

Masaaki Kodama ◽

Kou Matsuo ◽

Noriaki Yamamoto ◽

Masafumi Oda ◽

...

Keyword(s):

Lymph Nodes ◽

Ultrasound Imaging ◽

Soft Tissues ◽

Tongue Cancer ◽

Needle Aspiration ◽

Masticatory Muscles ◽

Ultrasound Images ◽

Cervical Lymph Nodes ◽

Positron Emission ◽

Oral And Maxillofacial Regions

Various kinds of diseases may be found in the oral and maxillofacial regions and various modalities may be applied for their diagnosis, including intra-oral radiography, panoramic radiography, ultrasonography, computed tomography, magnetic resonance imaging, and nuclear medicine methods such as positron emission tomography. Of these modalities, ultrasound imaging is easy to use for the detection of noninvasive and soft tissue-related diseases. Doppler ultrasound images taken in the B-mode can provide vascular information associated with the morphology of soft tissues. Thus, ultrasound imaging plays an important role in confirming the diagnosis of many kinds of diseases in such oral and maxillofacial regions as the tongue, lymph nodes, salivary glands, and masticatory muscles. In the present article, we introduce three new applications of ultrasonography: guided fine-needle aspiration, measurement of tongue cancer thickness, and diagnosis of metastasis to cervical lymph nodes.

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