Role of diagnostic imaging to malignant sinus tumors in presurgical staging

Fanucci, Ezio and Fiaschetti, Valeria and Fusco, N. and Viarani, S. and Gargari, Marco and Barlattani, Alberto and Assako, E.P. and Simonetti, Giovanni (2008) Role of diagnostic imaging to malignant sinus tumors in presurgical staging. Oral & implantology, 1 (2). pp. 56-65. ISSN 2035-2468

portiere.pdf - Published Version

Download (757kB)
Official URL:


The aim of this study is to describe the current role of imaging in pre-surgical planning, reporting 25 cases of paranasal sinus tumors examined in our Institute. Between June 2006 and May 2008, we identified 25 patients with malignant tumors of the paranasal sinuses. All of the patients were evaluated with CT and/or MR exams. US were used to assess regional lymph node involvement. When necessary CT-PET scanning using FDG, was done. Diagnostic imaging is essential during the initial work-up of a patient suspected of having a paranasal sinus tumor. The role of imaging is to define the tumor extension, nodal involvement, metastases and recurrences in the postoperative patient. CT and MR imaging are the primary modalities employed; each have advantages and disadvantages but tend to be complementary. The involvement of fine bone structures is best evaluated with CT. In assessing the extent of the tumor, MR provides excellent soft tissue detail, allowing for delineation of neoplasm from surrounding inflammatory tissue and secretions. For evaluation of lymph node enlargement color-Doppler US, CT and MR provide morphologic data, while CT-PET provides metabolic data. CT-PET can be used to stage nodal and metastatic disease and for assessing the efficacy of therapy or recurrent disease. Keywords: paranasal sinus neoplasm, paranasal sinus cancer, CT-sinus cancer, MR-head and neck tumors, PET/CT

Item Type: Article
Uncontrolled Keywords: Neoplasie dei seni paranasali-carcinoma sinusale, TC-carcinoma sinusale, RM-tumori della testa e del collo, PET/TC.
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia > 617.6 Odontoiatria
Depositing User: Nadia Del Gobbo
Date Deposited: 27 Mar 2013 13:10
Last Modified: 10 May 2013 15:16

Actions (login required)

View Item View Item