American Journal of Neuroradiology, Vol 15, Issue 9 1689-1694, Copyright © 1994 by American Society of Neuroradiology
ARTICLES |
CT and MR appearance of recurrent malignant head and neck neoplasms after resection and flap reconstruction
PA Hudgins, JG Burson, GS Gussack and WJ Grist
Department of Radiology, Emory University School of Medicine, Atlanta, GA 30322.
PURPOSE: To describe the appearance of recurrent malignant neoplasms in patients who have undergone resection of primary head and neck tumors with flap reconstruction. METHODS: Thirty-two examinations, 26 CT and 6 MR scans, were retrospectively reviewed in 25 patients with documented recurrent malignant neoplasms. Confirmation of disease was by biopsy or disease progression. The flaps included 15 myocutaneous, 6 free composite, 2 jejunal free grafts, and 2 combined jejunal and myocutaneous flaps. RESULTS: The most common location of recurrence was in the primary tumor bed involving the undersurface or suture line of the reconstruction flaps, 14 of 32 scans; both nodal and flap recurrence was seen in 12 of 32 scans. CONCLUSIONS: When examining patients who may have recurrent disease after flap reconstruction, the radiologist should be aware of the type of flap used and the expected appearance. Tumor recurrence in this patient population is manifest either as a focal recurrent mass at or near the suture line of the reconstruction flap, or nodal disease, usually in the contralateral neck.
This article has been cited by other articles:
 |
|
 |
|
  K Katsura and T Hayashi Non-neoplastic process after neck dissection demonstrated on enhanced CT in patients with head and neck cancer Dentomaxillofac. Radiol., September 1, 2005; 34(5): 297 - 303. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 V. Kapoor, M. B. Fukui, and B. M. McCook Role of 18FFDG PET/CT in the Treatment of Head and Neck Cancers: Posttherapy Evaluation and Pitfalls Am. J. Roentgenol., February 1, 2005; 184(2): 589 - 597. [Full Text] [PDF]
|
|
|
|
 |
|
 S. K. Mukherji and G. T. Wolf Evaluation of Head and Neck Squamous Cell Carcinoma After Treatment AJNR Am. J. Neuroradiol., October 1, 2003; 24(9): 1743 - 1746. [Full Text] [PDF]
|
|
|
|
|
|
J. Chong, L. Ling Chan, H. N. Langstein, and L. E. Ginsberg MR Imaging of the Muscular Component of Myocutaneous Flaps in the Head and Neck AJNR Am. J. Neuroradiol., January 1, 2001; 22(1): 170 - 174. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. K. Mukherji, M. Gapany, D. Phillips, B. Neelon, S. O' O'Brien, W. McCartney, S. Buejenovich, J. S. Parekh, J. P. Noordzij, and M. Castillo Thallium-201 Single-Photon Emission CT versus CT for the Detection of Recurrent Squamous Cell Carcinoma of the Head and Neck AJNR Am. J. Neuroradiol., August 1, 1999; 20(7): 1215 - 1220. [Abstract] [Full Text]
|
|