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- W2403283604 abstract "Imaging plays a chief role in the care and monitoring of patients in cervico-facial oncology. The radiologist must know the anatomy of different lymph nodes as well as signs of malignancy (hypertrophy, enhancement, necrosis, capsular rupture, etc.). CT is still the first-line examination because of its high reliability, its accessibility and its ability to make an assessment of the uppers aero digestive ways at the same time. Ultrasound is very accuracy, and allows the realization of cytoponction, but does not provide a complete exploration of the neck. MRI does not appear to be indicated for the first intention, but the new rapid sequences (STIR, diffusion) seem interesting. The PET-CT is useful in post-therapeutic management of patients, and probably in the initial staging, but its accessibility is poor. L’imagerie tient une place centrale dans la prise en charge et le suivi des patients en cancérologie ORL. Le radiologue doit connaître l’anatomie des différentes chaînes ganglionnaires ainsi que les signes de malignité (hypertrophie, rehaussement, nécrose, rupture capsulaire et infiltration périphérique, etc.). Le scanner est encore aujourd’hui l’examen de première intention en raison des sa grande fiabilité, de son accessibilité et de sa capacité à réaliser une évaluation de la filière oro-pharyngo-laryngée dans le même temps. L’échographie est très performante, et permet la réalisation de cytoponction, mais n’offre pas une exploration complète du cou. L’IRM ne paraît pas indiquée en première intention, mais les nouvelles séquences rapides (STIR, diffusion) semblent intéressantes. Le PET scanner est utile dans la surveillance des patients traités, et probablement dans la stadification initiale mais son accessibilité reste réduite." @default.
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- W2403283604 date "2008-07-01" @default.
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- W2403283604 title "Adénopathies cervicales" @default.
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