AI Article Synopsis
- Malignant tumors in the deep head and neck can invade skin, making it hard to assess their boundaries for surgery.
- High-resolution ultrasound was found to be more effective than CT scans in identifying the margins of these tumors by distinguishing them from surrounding swelling.
- In cases where ultrasound was used to mark the tumor's outline, surgeons successfully excised the tumors with clear margins, leading to patients being cancer-free for over three years.
Article Abstract
Malignant tumors of deep head and neck structures can invade skin, but the tumor periphery is difficult to assess clinically. The surgeon's dilemma is achieving tumor clearance with safe margins while at the same time minimizing skin loss on the face. We show, in 2 cases involving the face, that high-resolution diagnostic ultrasound was superior to CT scan in demonstrating the periphery of the tumor. The tumor was distinguished from surrounding edema by its lower echogenicity and homogeneous echotexture. The maximum contour of the tumor was marked on the skin surface with ink under ultrasound guidance. The ink marking aided excision and reconstruction planning. Subsequent histology showed the surgical margins were clear of tumor. The patients remained tumor-free for more than 3 years. Ultrasound imaging therefore shows good potential for planning surgical resection with a safe margin and for aiding decisions on donor site and type of flap for reconstruction.
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| http://dx.doi.org/10.1016/j.tripleo.2005.05.076 | DOI Listing |
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