IMAGING OF MASS LESIONS OF TONGUE ABSTRACT NO : 1171.

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Presentation transcript:

IMAGING OF MASS LESIONS OF TONGUE ABSTRACT NO : 1171

AIMS & OBJECTIVES To demonstrate the role of Multi detector computed tomography and Magnetic Resonance Imaging in detection of mass lesions of tongue. To demonstrate their role in pre operative diagnosis and management.

MATERIALS & METHODS 29 patients with mass lesions in tongue are evaluated with CT or MRI for a period of 7 months from March 2014 till October CT - 64 Slice GE Contrast enhanced Axial, Coronal and Sagittal images MRI Tesla GE 16 channel MRI. Three plane T1, T2 FS are basic sequences.

TECHNIQUE-PUFF CHEEK

RESULTS AND DISCUSSION TONGUE LESIONS NORMAL

DEMOGRAPHIC DISTRIBUTION

SQUAMOUS CELL CARCINOMA Squamous cancers of gingivobuccalregion,oral tongue and retromolar trigone are common oral cancers in our country. Among these carcinoma tongue is the second most common. Lateral border- most common site. Staging is important in the management.

SQUAMOUS CELL CARCINOMA OF TONGUE

SQUAMOUS CELL CARCINOMA

PRESENTATIONS OF SQUAMOUS CELL CARCINOMA

TUMOR T1 T2 T3 T4

56 YEAR OLD MALE PATIENT WHO IS A KNOWN CASE OF SQUAMOUS CELL CARCINOMA OF TONGUE CAME FOR FOLLOW UP EVALUATION

70 YEAR OLD PATIENT CAME WITH COMPLAINTS OF DIFFICULTY IN SWALLOWING AND BREATHING

64 YEAR OLD MALE PATIENT CAME WITH PAIN AND BURNING SENSATION OF TONGUE; PAST HISTORY OF BIOPSY

14 YEAR OLD FEMALE PATIENT WITH C/O SWELLING ON THE TIP OF TONGUE SINCE BIRTH, PROGRESSIVELY INCREASING FROM BIRTH

PRE AND POST

49 YEAR OLD MALE PATIENT CAME WITH COMPLAINTS OF SUBMUCOSAL BULGE

*3 YEAR OLD PATIENT BROUGHT BY MOTHER WITH COMPLAINTS OF SWELLING IN TONGUE SINCE TWO YEARS OF AGE.

54 YEAR OLD MALE PATIENT CAME WITH COMPLAINTS OF SWELLING OF TONGUE

67 YEAR MALE CAME WITH COMPLAINTS OF SWELLING OF TONGUE

T1T2W FAT SAT

CONCLUSION Though MR is the sensitive imaging modality for tongue evaluation, CT is most commonly used in preoperative assessment and post operative surveillance. When CT and MRI are combined together the sensitivity and specificity of delineating tongue lesions is increased.

TAKE HOME MESSAGE CT -cortical erosions. MRI -soft tissue extension, bone marrow involvement and peri neural spread. CT and MRI are complementary in evaluating tongue lesions.

REFERENCES 1) Yasunori Ariyoshi, Masashi Shimahara,Yasuo Uesugi, Isamu Narabayashi Magnetic Resonance Imaging of the Normal Tongue:Qualitative Evaluation of Fat-suppressed Contrast Enhanced Images. Bulletin of the Osaka Medical College 49 1, , ) Sunita Tibrewala, Sudeep Roplekar, Ravi Varma. Computed Tomography Evaluation of Oral Cavity and Oropharyngeal Cancers. Otorhinolaryngology Clinics: An International Journal, May-August 2013;5(2): ) Mallayya Pujari,Shraddha Bahirwani, Balaji P,Rachna kaul,Bina Shah, Deepak Daryani.Arteriovenous Malformation of Tongue: A Case Report and Review of Literature.Journal of Indian Academy of Oral Medicine and Radiology, April-June 2011;23(2): ) Lori L. Baker, William P. Dillon, Grant B. Hieshima, Christopher F. Dowd, and Ilona J. Frieden.Hemangiomas and Vascular Malformations of the Head and Neck: MR Characterization. AJNR 14: , Mar/ Apr /93/