Mandibular Lesion Differential Diagnoses in a Patient With a Previous History of Locally Advanced Head and Neck Carcinoma
Eighteen months after completion of radiochemotherapy treatment for a T4 squamous cell tonsil carcinoma, the patient presented with a piece of bone coming out through a submandibular fistula and had increasing pain. Several imaging modalities were used to investigate this lesion. The CT scan, orthop...
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| Veröffentlicht in: | Clinical nuclear medicine 2009-07, Vol.34 (7), p.435-438 |
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| creator | Le Stanc, Elise Vilain, Didier Baglin, Anne-Catherine Tainturier, Catherine |
| description | Eighteen months after completion of radiochemotherapy treatment for a T4 squamous cell tonsil carcinoma, the patient presented with a piece of bone coming out through a submandibular fistula and had increasing pain. Several imaging modalities were used to investigate this lesion. The CT scan, orthopantomogram, and bone scintigraphy suggested osteonecrosis, whereas the F-18 FDG PET scan showed tumor recurrence. Finally, both diagnoses of osteoradionecrosis and tumor recurrence were confirmed after mandibulectomy, performed because of a mandibular pathologic fracture. |
| doi_str_mv | 10.1097/RLU.0b013e3181a7d001 |
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Several imaging modalities were used to investigate this lesion. The CT scan, orthopantomogram, and bone scintigraphy suggested osteonecrosis, whereas the F-18 FDG PET scan showed tumor recurrence. Finally, both diagnoses of osteoradionecrosis and tumor recurrence were confirmed after mandibulectomy, performed because of a mandibular pathologic fracture.</description><identifier>ISSN: 0363-9762</identifier><identifier>EISSN: 1536-0229</identifier><identifier>DOI: 10.1097/RLU.0b013e3181a7d001</identifier><identifier>PMID: 19542949</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins, Inc</publisher><subject>Carcinoma, Squamous Cell - diagnostic imaging ; Carcinoma, Squamous Cell - therapy ; Diagnosis, Differential ; Fluorodeoxyglucose F18 ; Humans ; Male ; Mandible - diagnostic imaging ; Middle Aged ; Neoplasm Recurrence, Local - diagnostic imaging ; Osteoradionecrosis - diagnostic imaging ; Positron-Emission Tomography ; Radiopharmaceuticals ; Tomography, X-Ray Computed ; Tonsillar Neoplasms - diagnostic imaging ; Tonsillar Neoplasms - therapy</subject><ispartof>Clinical nuclear medicine, 2009-07, Vol.34 (7), p.435-438</ispartof><rights>2009 Lippincott Williams & Wilkins, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2999-c4a85fd0bc3a9fe0714a1f155b7d40eb5cdbf43c722a47c4048bee0f6447e2273</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19542949$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Le Stanc, Elise</creatorcontrib><creatorcontrib>Vilain, Didier</creatorcontrib><creatorcontrib>Baglin, Anne-Catherine</creatorcontrib><creatorcontrib>Tainturier, Catherine</creatorcontrib><title>Mandibular Lesion Differential Diagnoses in a Patient With a Previous History of Locally Advanced Head and Neck Carcinoma</title><title>Clinical nuclear medicine</title><addtitle>Clin Nucl Med</addtitle><description>Eighteen months after completion of radiochemotherapy treatment for a T4 squamous cell tonsil carcinoma, the patient presented with a piece of bone coming out through a submandibular fistula and had increasing pain. Several imaging modalities were used to investigate this lesion. The CT scan, orthopantomogram, and bone scintigraphy suggested osteonecrosis, whereas the F-18 FDG PET scan showed tumor recurrence. Finally, both diagnoses of osteoradionecrosis and tumor recurrence were confirmed after mandibulectomy, performed because of a mandibular pathologic fracture.</description><subject>Carcinoma, Squamous Cell - diagnostic imaging</subject><subject>Carcinoma, Squamous Cell - therapy</subject><subject>Diagnosis, Differential</subject><subject>Fluorodeoxyglucose F18</subject><subject>Humans</subject><subject>Male</subject><subject>Mandible - diagnostic imaging</subject><subject>Middle Aged</subject><subject>Neoplasm Recurrence, Local - diagnostic imaging</subject><subject>Osteoradionecrosis - diagnostic imaging</subject><subject>Positron-Emission Tomography</subject><subject>Radiopharmaceuticals</subject><subject>Tomography, X-Ray Computed</subject><subject>Tonsillar Neoplasms - diagnostic imaging</subject><subject>Tonsillar Neoplasms - therapy</subject><issn>0363-9762</issn><issn>1536-0229</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkN1O3DAQhS3UqizQN0CVXyAw_km8vkTbwlZKf1QVcRlN7DFryMbIzoL27ZsVSEidm9GZmXNG-hg7F3AhwJrLP-3tBfQgFCmxFGg8gDhiC1GrpgIp7Qe2ANWoyppGHrOTUh7mg0Y0-hM7FrbW0mq7YPsfOPrY7wbMvKUS08i_xhAo0zhFHGaB92MqVHgcOfLfOMV5w-_itDnITM8x7QpfxzKlvOcp8DY5HIY9v_LPODryfE3o-fyF_yT3yFeYXRzTFs_Yx4BDoc9v_ZTdXn_7u1pX7a-b76urtnLSWls5jcs6eOidQhsIjNAogqjr3ngN1NfO90ErZ6REbZwGveyJIDRaG5LSqFOmX3NdTqVkCt1TjlvM-05AdyDZzSS7_0nOti-vtqddvyX_bnpD9577koaJcnkcdi-Uuw3hMG06mEuBkZUEsGBmVR1GVv0DxqqA1g</recordid><startdate>200907</startdate><enddate>200907</enddate><creator>Le Stanc, Elise</creator><creator>Vilain, Didier</creator><creator>Baglin, Anne-Catherine</creator><creator>Tainturier, Catherine</creator><general>Lippincott Williams & Wilkins, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>200907</creationdate><title>Mandibular Lesion Differential Diagnoses in a Patient With a Previous History of Locally Advanced Head and Neck Carcinoma</title><author>Le Stanc, Elise ; Vilain, Didier ; Baglin, Anne-Catherine ; Tainturier, Catherine</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2999-c4a85fd0bc3a9fe0714a1f155b7d40eb5cdbf43c722a47c4048bee0f6447e2273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Carcinoma, Squamous Cell - diagnostic imaging</topic><topic>Carcinoma, Squamous Cell - therapy</topic><topic>Diagnosis, Differential</topic><topic>Fluorodeoxyglucose F18</topic><topic>Humans</topic><topic>Male</topic><topic>Mandible - diagnostic imaging</topic><topic>Middle Aged</topic><topic>Neoplasm Recurrence, Local - diagnostic imaging</topic><topic>Osteoradionecrosis - diagnostic imaging</topic><topic>Positron-Emission Tomography</topic><topic>Radiopharmaceuticals</topic><topic>Tomography, X-Ray Computed</topic><topic>Tonsillar Neoplasms - diagnostic imaging</topic><topic>Tonsillar Neoplasms - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Le Stanc, Elise</creatorcontrib><creatorcontrib>Vilain, Didier</creatorcontrib><creatorcontrib>Baglin, Anne-Catherine</creatorcontrib><creatorcontrib>Tainturier, Catherine</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Clinical nuclear medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Le Stanc, Elise</au><au>Vilain, Didier</au><au>Baglin, Anne-Catherine</au><au>Tainturier, Catherine</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mandibular Lesion Differential Diagnoses in a Patient With a Previous History of Locally Advanced Head and Neck Carcinoma</atitle><jtitle>Clinical nuclear medicine</jtitle><addtitle>Clin Nucl Med</addtitle><date>2009-07</date><risdate>2009</risdate><volume>34</volume><issue>7</issue><spage>435</spage><epage>438</epage><pages>435-438</pages><issn>0363-9762</issn><eissn>1536-0229</eissn><abstract>Eighteen months after completion of radiochemotherapy treatment for a T4 squamous cell tonsil carcinoma, the patient presented with a piece of bone coming out through a submandibular fistula and had increasing pain. Several imaging modalities were used to investigate this lesion. The CT scan, orthopantomogram, and bone scintigraphy suggested osteonecrosis, whereas the F-18 FDG PET scan showed tumor recurrence. Finally, both diagnoses of osteoradionecrosis and tumor recurrence were confirmed after mandibulectomy, performed because of a mandibular pathologic fracture.</abstract><cop>United States</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>19542949</pmid><doi>10.1097/RLU.0b013e3181a7d001</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0363-9762 |
| ispartof | Clinical nuclear medicine, 2009-07, Vol.34 (7), p.435-438 |
| issn | 0363-9762 1536-0229 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Carcinoma, Squamous Cell - diagnostic imaging Carcinoma, Squamous Cell - therapy Diagnosis, Differential Fluorodeoxyglucose F18 Humans Male Mandible - diagnostic imaging Middle Aged Neoplasm Recurrence, Local - diagnostic imaging Osteoradionecrosis - diagnostic imaging Positron-Emission Tomography Radiopharmaceuticals Tomography, X-Ray Computed Tonsillar Neoplasms - diagnostic imaging Tonsillar Neoplasms - therapy |
| title | Mandibular Lesion Differential Diagnoses in a Patient With a Previous History of Locally Advanced Head and Neck Carcinoma |
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