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La radiologia medica

, Volume 118, Issue 1, pp 123–139 | Cite as

CT-MR integrated diagnostic imaging of the oral cavity: neoplastic disease

  • S. MazziottiEmail author
  • G. Ascenti
  • E. Scribano
  • A. Mileto
  • S. Racchiusa
  • C. Visalli
  • I. Salamone
  • S. Vinci
  • A. Blandino
Head and Neck Radiology / Radiologia della Testa e del Collo

Abstract

The oral cavity is a complex anatomical region consisting of different anatomical sites and subsites. Cancer undoubtedly represents the most frequent and relevant disease of this region. Clinical examination is often the first approach to oral cavity tumours. Cross-sectional computed tomography (CT) and magnetic resonance imaging (MRI) play a key role in staging locoregional disease by demonstrating submucosal spread and involvement of deep layers; evaluation of specific pathways of spread to peculiar anatomical subsites is also fundamental information that can be obtained with these techniques. The purpose of this paper is to illustrate CT and MRI findings of anatomical subsites involved by tumours of the oral cavity.

Keywords

Oral cavity Neoplasm Computed tomography Magnetic resonance imaging 

Diagnostica integrata TC e RM del cavo orale: la patologia neoplastica

Riassunto

Il cavo orale rappresenta una regione anatomica complessa, nella cui costituzione rientrano differenti aree e logge. Nell’ambito di tale distretto la patologia neoplastica rappresenta certamente l’evento più frequente e di maggiore rilevanza. L’approccio iniziale alle neoplasie del cavo orale è quasi sempre rappresentato dall’esame clinico. L’imaging panesplorante ottenuto con tomografia computerizzata (TC) e risonanza magnetica (RM) assume un ruolo fondamentale nella stadiazione locoregionale di malattia, dimostrando la possibile estensione sottomucosa e il coinvolgimento dei piani profondi; fondamentale è inoltre l’informazione ottenibile con tali indagini relativamente alla identificazione di peculiari vie di diffusione in alcune particolari sub-sedi anatomiche. Scopo del lavoro è illustrare i rilievi di semeiotica TC e RM nelle neoplasie del cavo orale relativamente al coinvolgimento delle diverse sub-sedi anatomiche.

Parole chiave

Cavo orale Neoplasia Tomografia computerizzata Risonanza magnetica 

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References/Bibliografia

  1. 1.
    Mukherji SK, Pillsbury HR, Castillo M (1997) Imaging squamous cell carcinomas of the upper aerodigestive tract: what clinicians need to know? Radiology 205:629–646PubMedGoogle Scholar
  2. 2.
    Muraki AS, Mancuso AA, Harnsberger HR et al (1983) CT of the oropharynx, tongue base and floor of the mouth: normal anatomy and range of variations and applications in staging carcinoma. Radiology 148:725–731PubMedGoogle Scholar
  3. 3.
    Mancuso AA, Hanafe WN (1985) Oral cavity and oropharynx, including tongue base, floor of the mouth and mandible. In: Lenz M (ed) Computed tomography and magnetic resonance imaging of the head and neck. Williams and Wilkins, Baltimore, pp 358–427Google Scholar
  4. 4.
    Hermans R, Lenz M (1996) Imaging of the oropharynx and oral cavity. Part 1: Normal anatomy. Eur Radiol 6:362–368PubMedGoogle Scholar
  5. 5.
    Henrot P, Blum A, Toussaint B et al (2003) Dynamic maneuvers in local staging of head and neck malignancies with current imaging techniques: principles and clinical applications. Radiographics 23:1201–1213PubMedCrossRefGoogle Scholar
  6. 6.
    Weissman JL, Carrau RL (2001) “Puffed-cheek” CT improves evaluation of the oral cavity. AJNR Am J Neuroradiol 22:741–744PubMedGoogle Scholar
  7. 7.
    Rydberg J, Buckwalter KA, Caldemeyer KS et al (2000) Multisection CT: scanning techniques and clinical applications. Radiographics 20:1787–1806PubMedGoogle Scholar
  8. 8.
    Dammann F, Horger F, Mueller-Berg M et al (2005) Rational diagnosis of squamous cell carcinoma of the head and neck region: comparative evaluation of CT, MRI and 18FDG PET. AJR Am J Roentgenol 184:1326–1331PubMedGoogle Scholar
  9. 9.
    Mukherji SK, Weeks SM, Castillo M et al (1996) Squamous cell carcinomas that arise in the oral cavity and tongue base: can CT help predict perineural or vascular invasion? Radiology 198:157–162PubMedGoogle Scholar
  10. 10.
    Smoker WRK (2003) The oral cavity. In: Som PM, Curtin HD (eds) Head and neck imaging. Mosby-Year Book, St Louis, pp 1377–1464Google Scholar
  11. 11.
    Tart RP, Kotzur IM, Mancuso AA et al (1995) CT and MR imaging of the buccal space and buccal space masses. Radiographics 15:531–550PubMedGoogle Scholar
  12. 12.
    Tryhus MR, Smoker WRK, Harnsberger HR (1990) The normal and diseased masticator space. Semin Ultrasound CT MR 11:476–485PubMedGoogle Scholar
  13. 13.
    Larsson SG, Mancuso AA, Hanafee WN (1982) Computed tomography of the tongue and floor of the mouth. Radiology 143:493–500PubMedGoogle Scholar
  14. 14.
    Ginsberg LE, Demonte F (1998) Imaging of perineural tumor spread from palatal carcinoma. AJNR Am J Neuroradiol 19:1417–1422PubMedGoogle Scholar
  15. 15.
    Dubin B, Jackson IT, Halim A, et al (1989) The anatomy of the buccal fat pad and its significance. Plast Reconstr Surg 83:257–262PubMedCrossRefGoogle Scholar
  16. 16.
    Braun IF, Hoffman JC (1984) Computed tomography of the buccommasseteric region. I. Anatomy. AJNR Am J Neuroradiol 5:605–610Google Scholar
  17. 17.
    Parker GD, Harnsberger HR (1991) Clinical-radiologic issues in perineural tumor spread of malignant diseases of the extracranial head and neck. Radiographics 11:383–399PubMedGoogle Scholar
  18. 18.
    Caldemeyer KS, Mathews VP, Righi PD, Smith RR (1998) Imaging features and clinical significante of perineural spread or extension of head and neck tumors. Radiographics 18:97–100PubMedGoogle Scholar
  19. 19.
    Sigal R, Zagdanski AM, Schwaab G et al (1996) CT and MR imaging of squamous cell carcinoma of the tongue and floor of the mouth. Radiographics 16:787–810PubMedGoogle Scholar
  20. 20.
    Mukherji SK, Curtin HD, Hudgins PA (1996) Head and neck radiology. Radiology 198:616–618PubMedGoogle Scholar
  21. 21.
    Yasumoto M, Shibuya H, Takeda M, Korenaga T (1995) Squamous cell carcinoma of the oral cavity: MR findings and value of T1-versus T2-weighted fast spin-echo images. AJR Am J Roentgenol 164:981–987PubMedGoogle Scholar
  22. 22.
    Madison MT, Remley KB, Latchaw RE, Mitchell SL (1994) Radiologic diagnosis and staging of head and neck squamous cell carcinoma. Radiol Clin North Am 32:163–181PubMedGoogle Scholar
  23. 23.
    Trotta BM, Pease CS, Rasamny JJ et al (2011) Oral cavity and oropharyngeal squamous cell cancer: key imaging findings for staging and treatment planning. Radiographics 31:339–354PubMedCrossRefGoogle Scholar
  24. 24.
    Gu DH, Yoon DY, Park CH, et al (2010) CT, MR, (18)F-FDG PET/CT, and their combined use for the assessment of mandibular invasion by squamous cell carcinomas of the oral cavity. Acta Radiol 51:1111–1119PubMedCrossRefGoogle Scholar
  25. 25.
    Capps EF, Kinsella JJ, Gupta M et al (2010) Emergency imaging assessment of acute, nontraumatic conditions of the head and neck. Radiographics 30:1335–1352PubMedCrossRefGoogle Scholar
  26. 26.
    Brown L, Rieger JM, Harris J, Seikaly H (2010) A longitudinal study of functional outcomes after surgical resection and microvascular reconstruction for oral cancer: tongue mobility and swallowing function. J Oral Maxillofac Surg 68:2690–2700PubMedCrossRefGoogle Scholar
  27. 27.
    Tshering Vogel DW, Zbaeren P, Thoeny HC (2010) Cancer of the oral cavity and oropharynx. Cancer Imaging 10:62–72PubMedCrossRefGoogle Scholar
  28. 28.
    Mukherij S, Isaacs D, Creager A et al (2001) CT detection of mandibular invasion by squamous cell carcinoma of the oral cavity. AJR Am J Roentgenol 117:237–243Google Scholar
  29. 29.
    Brown JS, Lowe D, Kalavrezos N et al (2002) Patterns of invasion and routes of tumor entry into the mandible by oral squamous cell carcinoma. Head Neck 24:370–383PubMedCrossRefGoogle Scholar
  30. 30.
    Lutcavage GJ, Schaberg SJ, Fulbright DK, Nelson CL (1993) Retromolar trigone mass. J Oral Maxillofac Surg 51:1024–1029PubMedCrossRefGoogle Scholar
  31. 31.
    Byers RM, Anderson B, Schwarz EA et al (1984) Treatment of squamous carcinoma of the retromolar trigone. Am J Clin Oncol 7:647–652PubMedCrossRefGoogle Scholar
  32. 32.
    Genden E, Ferlito A, Shaha AR, Rinaldo A (2003) Management of cancer of the retromolar trigone. Oral Oncology 39:633–637PubMedCrossRefGoogle Scholar
  33. 33.
    Crecco M, Vidiri A, Angelone ML et al (1999) Retromolar trigone tumors: evaluation by magnetic resonance imaging and correlation with pathological data. Eur J Radiol 32:182–188PubMedCrossRefGoogle Scholar
  34. 34.
    Lane AP, Buckmire RA, Mukherji SK et al (2000) Use of computed tomography in the assessment of mandibular invasion carcinoma of the retromolar trigone. Otoraryngol Head and Neck Surg 122:673–677CrossRefGoogle Scholar
  35. 35.
    Keverle M (2006) Neoplasm of the oral cavity. In: Hermans R (ed) Head and neck cancer imaging. Springer Verlag, Berlin, Heidelberg, New York, pp 103–127CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2012

Authors and Affiliations

  • S. Mazziotti
    • 1
    • 2
    Email author
  • G. Ascenti
    • 1
  • E. Scribano
    • 1
  • A. Mileto
    • 1
  • S. Racchiusa
    • 1
  • C. Visalli
    • 1
  • I. Salamone
    • 1
  • S. Vinci
    • 1
  • A. Blandino
    • 1
  1. 1.Dipartimento di Scienze Radiologiche, Policlinico “G. Martino”Università degli Studi di MessinaMessinaItaly
  2. 2.MessinaItaly

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