Intracranial Head and Neck Tumors: Endovascular Considerations, Present and Future

Abstract TO REVIEW THE literature on endovascular therapies available to clinicians to aid in the management of head, neck, and intracranial tumors. Hypervascular tumors of the head and neck region, as well as the intracranial region, are associated with large amounts of blood loss intraoperatively. Preoperative embolization of selected hypervascular tumors has been proposed in the literature as a method of reducing blood loss intraoperatively. This technique involves superselective catheterization of the feeding arteries to the tumor bed and then by infusion of embolic particles to saturate the tumor bed in the hopes of inducing necrosis. For less vascular tumors, selective infusion of chemotherapeutic agents has been reported as a method of reducing the systemic toxic effects of these medications. Endovascular therapies for hypervascular and less vascular tumors hold promise, although multicenter randomized controlled trials are required to help identify the patients that will benefit the most.

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Accumulation of 99mTc-Glutathione in Head and Neck Tumors

Nuklearmedizin ◽

10.1055/s-0038-1629759 ◽

1994 ◽

Vol 33 (05) ◽

pp. 224-228 ◽

Cited By ~ 1

Author(s):

T. Aras ◽

A. Aktaş ◽

S. Kaya ◽

C. F. Bekdik ◽

M. T. Ercan

Keyword(s):

Head And Neck ◽

Soft Tissues ◽

Malignant Tumors ◽

False Negative ◽

Neck Region ◽

Head And Neck Tumors ◽

Blood Clearance ◽

True Negative ◽

Head And Neck Region ◽

Neck Tumors

SummaryGlutathione labelled with 99mTc was used to study blood clearance and normal distribution in 3 healthy volunteers and in 10 patients with biopsy-proven tumors in the head and neck region. Static scintigrams were obtained at 1, 3, 6, and 24 h. ROIs over tumors and normal soft tissues were compared to obtain T/N ratios. In normal subjects blood clearance reached a plateau at 6 h; no radioactivity accumulation in the head and neck region was observed. Only the cardiac blood pool, the liver, the kidneys and the urinary bladder were evident. Excretion was via the kidneys. Malignant tumors and metastases were well visualized in 7 patients (true-positive), starting at 1 h. The mean T/N ratio was 2.69 ± 0.77. The best images were obtained at 3-6 h. 1 false-positive (granula-matous reaction), 1 false-negative (malignant epithelial tumor in the radix of tongue) and 1 true-negative (angiofibroma) results were obtained. 99mTc-GSH is a potential radiopharmaceutical for the scintigraphic visualization of head and neck tumors. Further clinical studies are warranted to show its sensitivity and accuracy.

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Interventional Management of Head and Neck Tumors

Seminars in Interventional Radiology ◽

10.1055/s-0040-1709157 ◽

2020 ◽

Vol 37 (02) ◽

pp. 157-165

Author(s):

Mudassar Kamran ◽

Adam N. Wallace ◽

Amole Adewumi

Keyword(s):

Head And Neck ◽

Tumor Resection ◽

Neck Region ◽

Minimal Invasive ◽

Head And Neck Tumors ◽

New Techniques ◽

Head And Neck Region ◽

Neck Tumors ◽

Embolic Agents ◽

Liquid Embolic

AbstractAdvancements in medical imaging and device technology allow minimal invasive procedures for the diagnosis and treatment of various disorders. For the management of tumors in head and neck region, these image-guided interventions play essential role in the often used multidisciplinary approach. Tissue sampling under ultrasound or computed tomography guidance is generally the first step to reach a pathological diagnosis. For head and neck tumors with high vascularity, embolization using particulate matter, liquid embolic agents, or coils is used to achieve successful tumor resection with minimal blood loss. Hemorrhage related to head and neck tumors can be evaluated and managed with endovascular techniques with minimal morbidity and mortality. Intra-arterial chemotherapy, radiofrequency ablation, and cryotherapy are new techniques for the management of advanced head and neck cancer which may serve as an alternative to achieve locoregional control and survival when curative resection may not be feasible.

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Vascular Mass Lesions and Hypervascular Tumors in the Head and Neck

Acta Radiologica ◽

10.1177/028418519503600205 ◽

1995 ◽

Vol 36 (2) ◽

pp. 136-141 ◽

Cited By ~ 22

Author(s):

F. Aspestrand ◽

A. Kolbenstvedt

Keyword(s):

Mr Imaging ◽

Head And Neck ◽

Neck Region ◽

Head And Neck Region ◽

Contrast Enhanced Ct ◽

Contrast Enhanced ◽

Enhanced Ct ◽

Cavernous Hemangiomas ◽

Hypervascular Tumors ◽

Mass Lesions

A retrospective analysis of the findings at contrast-enhanced CT, MR imaging and angiography in 24 patients with vascular mass lesions and 11 patients with hypervascular tumors in the head and neck region was undertaken. We attempted to find criteria at CT and MR imaging that could aid in differentiating between different lesion categories. Parameters such as contrast enhancement at CT, signal intensities at MR imaging, phleboliths and peritumoral hypervascularity were correlated to clinical presentation, biopsies and angiography. MR imaging was superior to CT and far better than angiography in delineating cavernous hemangiomas. Contrast-enhanced CT may better differentiate between cavernous and capillary hemangiomas than MR. MR imaging clearly differentiated cavernous hemangiomas from hypervascular tumors, but was, like CT, inadequate for distinguishing between capillary hemangiomas and hypervascular tumors. Lymphangiomas and cavernous hemangiomas had similar appearances at CT and MR imaging.

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Synovial sarcoma of the parotid gland – case report

Polski Przegląd Otorynolaryngologiczny ◽

10.5604/01.3001.0010.5249 ◽

2017 ◽

Vol 7 (3) ◽

pp. 1-5

Author(s):

Dawid Zagacki ◽

Kazimierz Niemczyk ◽

Antoni Bruzgielewicz ◽

Alina Morawiec-Sztandera ◽

Marcin Braun ◽

...

Keyword(s):

Salivary Gland ◽

Case Report ◽

Parotid Gland ◽

Head And Neck ◽

Synovial Sarcoma ◽

Pleomorphic Adenoma ◽

Neck Region ◽

Common Type ◽

Head And Neck Region ◽

Neck Tumors

Salivary gland neoplasms represent about 3% of head and neck tumors. The area most affected by tumors is parotid salivary gland (standing for about 80% of all cases). The most common type of the neoplasm is pleomorphic adenoma (which accounts for 80-90% of all diagnoses). One of the rare diagnoses in this region comprises synovial sarcoma, as it mainly occurs in lower extremities. In head and neck region it accounts for about 3% of all diagnoses. About 20 cases have been described in this region, so far. The etiology of the disease remains unknown, but there are reports linking synovial sarcoma with the rearrangement in the gene responsible for chromosomal transcription t(X;18) (p11,q11).

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A rare case of cavernous hemangioma of neck mimicking lipoma

International Surgery Journal ◽

10.18203/2349-2902.isj20170235 ◽

2017 ◽

Vol 4 (2) ◽

pp. 797

Author(s):

Aditya Parimal Lad ◽

Paras Batra ◽

Iresh Shetty ◽

Ishant Rege ◽

Gaurav Batra ◽

...

Keyword(s):

Head And Neck ◽

Cavernous Hemangioma ◽

Surgical Intervention ◽

Neck Region ◽

Vascular Tumors ◽

Benign Tumors ◽

Neck Movement ◽

Head And Neck Region ◽

Pathological Analysis ◽

Posterior Triangle

Intramuscular hemangiomas of the head and neck are rare congenital vascular tumors and are sparsely reported. Hemangiomas account for approximately 7% of benign tumors and usually present as a mass that suddenly enlarges. Hemangiomas are mostly seen on the trunk and extremities, but can also appear on the head and neck region. A 28 year old female presented in OPD with 5x4 cm mass in Right posterior triangle of neck. CT scan showed 5x4x4 cm swelling in right posterior triangle involving sternocleidomastoid muscle. The mass was totally extracted by surgical intervention and pathological analysis revealed that it was a cavernous hemangioma. The patient’s neck movement returned to normal after surgery.

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Clinicopathological Study of Nonsquamous Cell Malignancies of the Head and Neck

International Journal of Head and Neck Surgery ◽

10.5005/jp-journals-10001-1143 ◽

2013 ◽

Vol 4 (2) ◽

pp. 70-73 ◽

Cited By ~ 1

Author(s):

Vipin Ram Ekhar ◽

Devendra M Mahore ◽

Gauri M Kapre ◽

Bhagyashree D Bokare ◽

Surendra H Gawarle

Keyword(s):

Head And Neck ◽

Clinical Characteristics ◽

Neck Region ◽

Limited Data ◽

Head And Neck Region ◽

Neck Tumors ◽

Clinicopathological Study ◽

Nose And Paranasal Sinuses ◽

Practical Information ◽

Pathological Subtypes

ABSTRACT There is a tendency among the head and neck surgeons to classify head and neck tumors as squamous and nonsquamous. The latter is a miscellaneous collection of less common, but certainly no less significant neoplasms. The rarity of these tumors is evident from the limited data available on clinical characteristics and outcomes. This study is thus an attempt to meet the need and fill the void by providing practical information regarding different pathological subtypes, their treatment and prognosis. In our study, we documented a total of 48 cases of nonsquamous cell cancers of the head and neck region including all sites like nose and paranasal sinuses, oral cavity and oropharynx, neck and larynx and documented important clinical, pathological and treatment features of these. How to cite this article Ekhar VR, Mahore DM, Kapre GM, Bokare BD, Gawarle SH. Clinicopathological Study of Nonsquamous Cell Malignancies of the Head and Neck. Int J Head and Neck Surg 2013;4(2):70-73.

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Rhabdomyoma of the tongue base

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20194955 ◽

2019 ◽

Vol 5 (6) ◽

pp. 1705

Author(s):

Julius M. Vahl ◽

Lisa Baumann ◽

Thomas K. Hoffmann

Keyword(s):

Head And Neck ◽

Treatment Options ◽

Neck Region ◽

Rare Condition ◽

Tongue Base ◽

Medical Emergency ◽

Head And Neck Region ◽

Neck Tumors ◽

Diagnostic Work ◽

Work Up

<p class="abstract">Extracardiac rhabdomyoma is a very rare condition with potentially multifocal manifestations including the head and neck region. We present a case of an 81-year-old patient who presented as a medical emergency because of ambiguous, progressive throat pain and dysphagia. After diagnostic work up including magnetic resonance (MR) scan and biopsy a rhabdomyoma of the tongue base was diagnosed. The tumor was completely excised by transoral laser microsurgery and the patient’s symptoms vanished. This case report is described in context of the current literature with a discussion of diagnostic steps and treatment options of rhabdomyoma in the head and neck region. Rhabdomyoma is a rare, but nevertheless relevant differential diagnosis of head and neck tumors.</p>

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