Posts Tagged ‘MRI’
Sensory Symptoms with Skin Cancers
HISTORY A 68-year-old woman presented with left cheek radiating, shooting pains in the area of biopsy proven basal cell carcinoma. The neuralgia symptoms radiated to the nose, eye, and temple. MRI of the face was non-contributory. Mohs excision was performed by the dermatologist. Additional margin wide local excision was performed at the reconstructive procedure. Patient…
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MEDIAL CANTHUS BASAL CELL CARCINOMA FOLLOW UP
HISTORY 91 year old man presented with a recurrent right medial canthus BCC that was previously treated with 45 days of radiation (SRT at Hoag Hospital). Biopsy showed infiltrative sclerosing basal cell carcinoma with focal perineural invasion. MRI in December of 2016 showed the mass was fixed on the lamina papyracea adjacent to the medial…
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BASOSQUAMOUS CARCINOMA INVADING PAROTID GLAND
SMAS Fasciocutaneous Island flap used to reconstruct the parotid and facial defect. HISTORY 79 year old man presented in 3/2017 with basal cell carcinoma of the right ear involving the parotid and the tragal cartilage. 3 levels of Mohs were done without clear margins. Mapping biopsies were performed on 3/20/17 showing metatypical basal cell carcinoma…
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PET Imaging – Realizing a Star Trek Tricorder
PET scanning is utilized in skin cancer staging by detecting regional lymph node metastases as well as distant organ metastases. Its specificity is superior to CT and MR for N-staging, particularly with melanoma. It can be the superior modality for primary tumor staging as well. PET scan imaging is based on the increased metabolic activity…
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