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The Diagnostic Imaging of Extended Parotid Tumors

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Abstract

Extended parotid tumors require a precise preoperative assessment. Imaging is an indispensable part of the diagnostic work-up. The algorithm for the imaging of extended or suspected extended parotid tumors is basically easy to describe: If available, ultrasonography gives a first overview about the tumor. It can be combined with fine-needle aspiration cytology to get first information if the tumor is benign or malignant. The exact extent of an extended parotid tumor is most often not to be determined by ultrasonography, especially when the tumor is located in the deep parotid lobe. High-resolution magnetic resonance imaging (MRI) is mandatory to delineate the exact borders of the tumor and its extent into surrounding structures. If MRI is not available or contraindicated, computed tomography (CT) is an alternative. Furthermore, CT allows a good evaluation of the relation of the parotid tumor to the bony skull base. The chapter presents in detail the advantages and disadvantages of ultrasonography, MRI, and CT. Furthermore, the role of other imaging technique like of contrast-enhanced positron emission tomography (PET) together with CT (PET-CT) is discussed.

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References

  1. Gritzmann N, Rettenbacher T, Hollerweger A, Macheiner P, Hubner E. Sonography of the salivary glands. Eur Radiol. 2003;13(5):964–75. PubMed.

    CAS  PubMed  Google Scholar 

  2. Katz P, Hartl DM, Guerre A. Clinical ultrasound of the salivary glands. Otolaryngol Clin N Am. 2009;42(6):973–1000. Table of Contents. PubMed.

    Article  Google Scholar 

  3. Kraft M, Lang F, Mihaescu A, Wolfensberger M. Evaluation of clinician-operated sonography and fine-needle aspiration in the assessment of salivary gland tumours. Clin Otolaryngol. 2008;33(1):18–24. PubMed.

    Article  CAS  PubMed  Google Scholar 

  4. Howlett DC, Kesse KW, Hughes DV, Sallomi DF. The role of imaging in the evaluation of parotid disease. Clin Radiol. 2002;57(8):692–701. PubMed.

    Article  CAS  PubMed  Google Scholar 

  5. Lee YY, Wong KT, King AD, Ahuja AT. Imaging of salivary gland tumours. Eur J Radiol. 2008;66(3):419–36. PubMed eng.

    Article  CAS  PubMed  Google Scholar 

  6. Yabuuchi H, Matsuo Y, Kamitani T, Setoguchi T, Okafuji T, Soeda H, et al. Parotid gland tumors: can addition of diffusion-weighted MR imaging to dynamic contrast-enhanced MR imaging improve diagnostic accuracy in characterization? Radiology. 2008;249(3):909–16. PubMed.

    Article  PubMed  Google Scholar 

  7. Yerli H, Aydin E, Haberal N, Harman A, Kaskati T, Alibek S. Diagnosing common parotid tumours with magnetic resonance imaging including diffusion-weighted imaging vs fine-needle aspiration cytology: a comparative study. Dentomaxillofac Radiol. 2010;39(6):349–55. PubMed Pubmed Central PMCID: 3520240.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  8. Yousem DM, Kraut MA, Chalian AA. Major salivary gland imaging. Radiology. 2000;216(1):19–29. PubMed.

    Article  CAS  PubMed  Google Scholar 

  9. Thoeny HC. Imaging of salivary gland tumours. Cancer Imaging. 2007;7:52–62. PubMed Pubmed Central PMCID: 1866314.

    Article  PubMed Central  PubMed  Google Scholar 

  10. Yerli H, Aydin E, Coskun M, Geyik E, Ozluoglu LN, Haberal N, et al. Dynamic multislice computed tomography findings for parotid gland tumors. J Comput Assist Tomogr. 2007;31(2):309–16. PubMed.

    Article  PubMed  Google Scholar 

  11. Antoch G, Vogt FM, Freudenberg LS, Nazaradeh F, Goehde SC, Barkhausen J, et al. Whole-body dual-modality PET/CT and whole-body MRI for tumor staging in oncology. JAMA. 2003;290(24):3199–206. PubMed.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Orlando Guntinas-Lichius MD .

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© 2016 Springer International Publishing Switzerland

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Guntinas-Lichius, O., Burmeister, H.P. (2016). The Diagnostic Imaging of Extended Parotid Tumors. In: Costan, VV. (eds) Management of Extended Parotid Tumors. Springer, Cham. https://doi.org/10.1007/978-3-319-26545-2_11

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  • DOI: https://doi.org/10.1007/978-3-319-26545-2_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-26543-8

  • Online ISBN: 978-3-319-26545-2

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