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Insights into Imaging
Published in: Insights into Imaging 6/2018

Open Access 01-12-2018 | Pictorial Review

Easily detected signs of perineural tumour spread in head and neck cancer

Authors: Jan Willem Dankbaar, Frank A. Pameijer, Jeroen Hendrikse, Ilona M. Schmalfuss

Published in: Insights into Imaging | Issue 6/2018

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Abstract

Perineural tumour spread (PNTS) in head and neck oncology is most often caused by squamous cell carcinoma. The most frequently affected nerves are the trigeminal and facial nerves. Up to 40% of patients with PNTS may be asymptomatic. Therefore, the index of suspicion should be high when evaluating imaging studies of patients with head and neck cancer. This review describes a “quick search checklist” of easily detected imaging signs of PNTS.

Teaching Points

• A distinctive feature of head and neck tumours is growth along nerves.
• Perineural tumour spread is most often caused by squamous cell carcinoma.
• There are several key findings for the detection of perineural tumour spread.
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Metadata
Title
Easily detected signs of perineural tumour spread in head and neck cancer
Authors
Jan Willem Dankbaar
Frank A. Pameijer
Jeroen Hendrikse
Ilona M. Schmalfuss
Publication date
01-12-2018
Publisher
Springer Berlin Heidelberg
Published in
Insights into Imaging / Issue 6/2018
Electronic ISSN: 1869-4101
DOI
https://doi.org/10.1007/s13244-018-0672-8

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