Jurnal CA Nasopharingeal B.inggris

7/24/2019 Jurnal CA Nasopharingeal B.inggris

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Nasopharyngeal carcinoma: ComputedTomography

features in children and adolescentsPoster No.:

Congress:

Type:

C-2063

ECR 2014

Scientifc Exhibit

Authors:Keywords:

A. S. Eksioglu, H. . !"#AR, $. %c&n, C. $o'ku(t) Ank&(&*+RC&nce(, Cont(&st &gent-int(&enous, ACS, C+, ei&t(ic,

/ncolog, He& &n neck

DOI: 10.14*ec(2014*C-2063

An ino(&tion cont&ine in this 5 fle is &uto&tic&ll gene(&te (o igit&l&te(i&l

subitte to E/S b thi( 5&(ties in the o( o scientifc 5(esent&tions. Ree(en

to &n n&es, &(ks, 5(oucts, o( se(ices o thi( 5&(ties o( h5e(text links to t

5&(t sites o( ino(&tion &(e 5(oie solel &s & conenience to ou &n o n

&n & constitute o( i5l ECR7s eno(seent, s5onso(shi5 o( (ecoen&tion o

thi( 5&(t, ino(&tion, 5(ouct o( se(ice. ECR is not (es5onsible o( the conte

these 5&ges &n oes not &ke &n (e5(esent&tions (eg&(ing the content o( &ccu

o &te(i&l in this fle.

As 5e( co5(ight (egul&tions, &n un&utho(ise use o the &te(i&l o( 5&(ts the(eo

ell &s coe(ci&l (e5(ouction o( ulti5le ist(ibution b &n t(&ition&l o(elect(onic&ll

b&se (e5(ouction*5ublic&tion etho ist st(ictl 5(ohibite.

8ou &g(ee to een, ineni, &n hol ECR h&(less (o &n &g&inst &n &n

cl&is, &&ges, costs, &n ex5enses, incluing &tto(nes7 ees, &(ising (o o( (el

to ou( use o these 5&ges.

le&se note9 :inks to oies, 55t slieshos &n &n othe( ultiei& fles &(e

&&il&ble in the 5 e(sion o 5(esent&tions.

.ESR.o(g

&ge 1 o 2;


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Aims ando!ecti"es

1?. @he(e&s &lost &ll n&so5h&(nge&l &lign&ncies

c&(cino&s in &ults, n&so5h&(nge&l c&(cino& #CB is & (&(e entit in chil(en

&ccounts o( onl 20-0= o &ll n&so5h&(nge&l &lign tuo(s >2,3?.#C in chil(en h&s & 5(eilection o( &olescents. Although chilhoo #C is belie

to h&e & bette( i&gnosis th&n the &ult t5e, the i&gnosis is usu&ll el&e &n

the

5&tients 5(esent &t & loc&ll &&nce st&ge. "n &ition to the non-s5ecifcit o

the

s5tos, not consie(ing the entit o( ie(enti&l i&gnosis ight be the othe(

(e&son

o( & el&e i&gnosis.

Co5ute toog(&5h C+B being &ccessible, &st, &ccu(&te, (el&tiel che&5

nonin&sie is (eDuentl use o( the i&gnosis o #C. "&ging o the n&so5h&(n

(egion ith C+ 5(oies 5(ecise &n&toic&l ino(&tion (eg&(ing tuo( si'e, loc&

&n (el&tie 5osition o the &o( &n&toic st(uctu(es &n co5&(tents. Cont(&st

&gent

&inist(&tion enh&nces the c&5&bilit to ete(ine extension, &llos the etect

o

&scul&( &n int(&c(&ni&l co5lic&tions.

+he stuies ocuenting C+ i&ging fnings o chil(en ith #C &(e b&se

(et(os5ectie institution&l stuies ith s&ll nube( o 5&tients &ccuul&te oe(

e&(s

ue to the (&(it o these tuo(s in chil(en. +he &i o the 5(esent stu is to (e

ou( hos5it&l7s ex5e(ience in the i&ging o this (&(e ise&se &n to e5h&si'e thec(uci&l

(ole o C+ in the i&gnosis.Images for thissection:

&ge 2 o 2;


3/28

#ig. $: #&so5h&(nge&l &set(. Cont(&st enh&nce &xi&l C+ sc&n o & 1F e&(-

&le 5&tient ith n&so5h&(nge&l c&(cino& shos oblite(&tion o 5h&(nge&l o5e

o let eust&chi&n tube &n RosenGlle( oss& (esulting in &n &set(ic &55e&(&n

&ge 3 o 2;


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#ig. %: Skull b&se in&sion. Cont(&st enh&nce &xi&l C+ sc&n o & 1 e&(-ol e

5&tient ith n&so5h&(nge&l c&(cino& shos in&sion o the skull b&se &((oB in

ino.

&ge 4 o 2;


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#ig. &: "n&sion o 5&(&5h&(nge&l s5&ce. Cont(&st enh&nce &xi&l C+ sc&n o &

e&(-ol e&le 5&tient ith n&so5h&(nge&l c&(cino& shos in&sion o bil&

5&(&5h&(nge&l s5&ce o(e 5(oinent on the let. Also note the extension o sot ti

&ss into (ight 5oste(io( cho&n& &n n&s&l c&it.

&ge o 2;


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#ig. ': /(o5h&(nge&l &set(. Cont(&st enh&nce &xi&l C+ sc&n o & 10 e&(

&le 5&tient ith n&so5h&(nge&l c&(cino& (ee&ls &set( th&t extens to

o(o5h&(nge&l leel. Also note the extension o the tuo( into (ight 5&(&5h&(nge&

s5&ce

&t.

&ge 6 o 2;


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#ig. (:+uo( extension. Cont(&st enh&nce &xi&l C+ sc&n o & 10 e&(-ol &le 5&

ith n&so5h&(nge&l c&(cino& shos extension o the tuo( into let 5et(ocli&l

fssu(e

&n 5te(go5&l&tin oss& &((osB.

&ge F o 2;


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#ig. ):


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#ig. *: Ce(ic&l l5h noes. Cont(&st enh&nce &xi&l C+ sc&n o & 1 e&(-ol e

5&tient ith n&so5h&(nge&l c&(cino& shos bil&te(&l cont(&st enh&ncing s5he

ce(ic&l l5&eno5&thies &((osB.

&ge o 2;


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#ig. +: Ret(o5h&(nge&l l5h noe. Cont(&st enh&nce &xi&l C+ sc&n o & 1F

ol &le 5&tient ith n&so5h&(nge&l c&(cino& (ee&ls & (et(o5h&(nge&l l5h

&((oB in the &bsence o &n 5(oinent ce(ic&l l5h noes.

&ge 10 o 2;


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,ethods andmaterials

Cont(&st enh&nce n&so5h&(nge&l helic&l C+ i&ges o ; chil(en 6 bos) 2 g

e&n &ge 14 e&(sB ho (eceie & histo5&tologic&ll 5(oen i&gnosis o #C

ou( hos5it&l beteen 2006-2013 e(e (et(os5ectiel (ee&lu&te b &n ex5e(ien

5ei&t(ic (&iologist A.S.E.B using & 5ictu(e &(chiing &n counic&tion ss

ACSB.


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#&so5h&(nge&l &set( , oblite(&tion o eust&chi&n tube &n RosenGlle( o

eithe( unil&te(&ll o( bil&te(&ll Jig. 1 on 5&ge 12 , skull-b&se inoleent Jig. 2

5&ge 13 &n bil&te(&l o( unil&te(&l 5&(&5h&(nge&l s5&ce inoleent e(e co

fnings in &ll 5&tients. Although 5&(&5h&(nge&l s5&ce &s inole in &ll 5&t

g(oss in&sion &s onl seen in o the ; c&ses. "n 3 5&tients 3F.=B o(o5h&(n&set( &s &lso note Jig. 4 on 5&ge 14 . "n o the 5&tients 62.=B the

extene into the 5oste(io( cho&n& hile in 1 &ition&l 5&tient 12.=B it extene

into

the n&s&l c&it Jig. 3 on 5&ge 1 .


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&ge 13 o 2;


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ino.

&ge 14 o 2;


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s5&ce

&t.

&ge 1 o 2;


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&ge 16 o 2;


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fssu(e


&ge 1F o 2;


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#ig. ):


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#ig. *: Ce(ic&l l5h noes. Cont(&st enh&nce &xi&l C+ sc&n o & 1 e&(-ol e

5&tient ith n&so5h&(nge&l c&(cino& shos bil&te(&l cont(&st enh&ncing s5he

ce(ic&l l5&eno5&thies &((osB.

&ge 1 o 2;


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#ig. +: Ret(o5h&(nge&l l5h noe. Cont(&st enh&nce &xi&l C+ sc&n o & 1F

ol &le 5&tient ith n&so5h&(nge&l c&(cino& (ee&ls & (et(o5h&(nge&l l5h

&((oB in the &bsence o &n 5(oinent ce(ic&l l5h noes.

&ge 20 o 2;


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Conclusion

#C is not the f(st choice in the ie(enti&l i&gnosis o n&so5h&(nge&l sot tis

&sses in chil(en. Iue to its (&(it, the clinic&l ex5e(ience is liite &n the i&gn

is usu&ll el&e. +een&ge(s (o 10 to 1 e&(s &(e the ost &ecte &ge-g(ou5

#C &long ith l5ho&, hile in ounge( chil(en (h&boos&(co& &n l5

is o(e likel >4?. /n the othe( h&n benign &enoi&l h5e(t(o5h is the ost

coon

&ss in 5oste(io( n&so5h&(nx in chil(en. +he(eo(e & (&iologist shoul be &&(

the &ct th&t &lthough (&(e, n&so5h&(inge&l c&(cino& oes occu( in chil(en &n c&

i&gnose (eli&bl b C+ hen ke (&iologic e&tu(es &(e (ecogni'e.

%neectie t(e&tent ith ulti5l &ntibiotics o( neck &ss, ee( o( n&s&l s5tois

usu&ll the t5ic&l clinic&l sto( o & chil ith #C. Jin&ll & bio5s is (eDui(e o(

clinici&n o(e(s & neck C+ 5(io( to bio5s. Ret(o5h&(nge&l l5h noes &(e (eDue

inole &s in ou( se(ies &s this is & 5(i&( site o n&so5h&(nge&l l5h&tic (&i

>?. Along ith ce(ic&l :As (et(o5h&(nge&l l5h&eno5&th c&n &lso be see

&enoi&l h5e(t(o5h &n the(eo(e is not consie(e & s5ecifc fning.

#C is cl&ssife into 3 5&thologic&l subt5es9 t5e 1 ke(&tini'ing sDu&ous

c&(cino&B is the ost coon o( in &ults, &n is &ssoci&te ith &lcohol &n

tob&cco

use) t5e 2 non-ke(&tini'ing sDu&ous cell c&(cino&B) &n t5e 3 unie(ent

c&(cino&B >6, F?. Cont(&( to the &ults t5e " is the le&st coon subt5e in ch

hile t5e 3 is the ost coon >2?. "n ou( se(ies F= o the 5&tients h& t5e 3

onl one 5&tient h& t5e 1 #JC, &s & consistent (esult ith the lite(&tu(e.Aset(ic inoleent o the n&so5h&(nx is consie(e & o(e s5ecifc fnin&lign&ncies hich is seen o(e (eDuentl in #C th&n n&so5h&(nge&l l5ho&

Jig. 1 on 5&ge 22 Jig. 4 on 5&ge 22 . #C tens to in&e the skull b&se e&

u(ing its loc&l in&sion 5(ocess Jig. 2 on 5&ge 23 &n &s seen in &ll 5&tient

ou( se(ies. et(ocli&l fssu(e iens &s & 5&(t o this 5(ocess Jig. on 5&ge 24

e5icte in 6 o ou( 5&tients F=B, bil&te(&ll in to. &(&5h&(nge&l s5&ce is the

&(e& to be inole &n&toic&ll &s the tuo( (e&ches 5h&(ngob&sil&( &sci& Jig.

5&ge 2. &(&5h&(nge&l s5&ce &s eithe( n&((oe o( inole in &ll o ou( c&

hoee( & g(oss in&sion &s onl obse(e in 62.= o the c&ses. te(go5&l&tin

Jig. on 5&ge 24 &n &stic&to( s5&ce Jig. 6 on 5&ge 26 inoleent, 62.= &

2= (es5ectiel, &(e e5icte o(e (eDuentl in ou( se(ies th&n (e5o(te in lite(

>1? 5ossibl ue to the &&nce st&ges in ou( 5&tients.

+he 5(esence o &n &set(ic&l n&so5h&(nge&l &ss lesion in & chil beteen 11

e&(s ith & histo( o un(es5onsie &ntibiotics t(e&tent, shoul &(ise the 5ossibi

o

& #C es5eci&ll hen &n o the &boe C+ fnings c&n be eonst(&te. A (&iolo

shoul be &&(e o this 5ossibilit &n elibe(&tel look o( &ssoci&te C+ fnings.

&ge 21 o 2;


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Images for thissection:




&ge 22 o 2;


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s5&ce

&t.

&ge 23 o 2;


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ino.

&ge 24 o 2;


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fssu(e


&ge 2 o 2;


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&ge 26 o 2;


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#ig. ):


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Personalinformation

-eferences

1. St&buk HE, &tel S,

Jurnal CA Nasopharingeal B.inggris

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