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Neck Nodal Disease

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Head and Neck Cancer Imaging

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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Abstract

Neck nodal metastases are common in head and neck cancer and influence prognosis profoundly. This chapter focuses on the commonest cancer type, squamous cell carcinoma, although other malignancies are also outlined. CT, MRI and US are the mainstay imaging modalities for routine nodal evaluations and are reliant on anatomic criteria, which are described in this chapter. FDG-PET CT provides functional information by virtue of tumour hypermetabolism although its role in staging is not fully established. Neck nodal distribution and nodal staging using the current level-based and TNM systems, respectively, are described. Besides N-stage, other nodal features demonstrable on imaging, including entranodal extension and precise locations, can influence therapy and prognosis. Anatomic imaging is particularly challenging in the post-treatment neck, especially for assessment of residual nodal cancer following chemoradiation. In this regard, functional imaging tools may have some advantages compared to anatomy-based imaging.

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  1. Imaging Department, Imperial College Healthcare NHS Trust, London, UK

    Kunwar S. S. Bhatia

  2. Department of Diagnostic Radiology and Organ Imaging, Faculty of Medicine, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China

    Ann D. King

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    Robert Hermans

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Bhatia, K.S.S., King, A.D. (2020). Neck Nodal Disease. In: Hermans, R. (eds) Head and Neck Cancer Imaging. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/174_2020_238

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