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Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
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Learn directly from the MSK Master himself.
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For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Lesson
Salivary Glands
66 topics, 3 hr. 54 min.
Introduction to Salivary Gland Imaging
10 m.Bell's Palsy
5 m.Innervation of the Parotid Gland – Summary
6 m.Stenson’s Duct – Summary
7 m.Submandibular Gland – Summary
5 m.Submandibular Gland & Wharton's Duct Anatomy
7 m.Wharton’s Duct – Summary
2 m.Sublingual Gland – Summary
6 m.Simple and Plunging Ranula
5 m.Minor Salivary Glands – Summary
2 m.Technique for Salivary Gland Imaging – Summary
8 m.MRI Technique – Case
4 m.Benign Neoplasms – Summary
8 m.Pleomorphic adenoma with Carcinoma Ex Pleomorphic Adenoma
11 m.Pleomorphic Adenoma
5 m.Hard Palate Pleomorphic Adenoma
5 m.Pleomorphic Adenoma – Summary
3 m.Parotid Pleomorphic Adenoma
5 m.Parapharyngeal Space Pleomorphic Adenoma – Case
4 m.Deep Lobe Parotid Gland Pleomorphic Adenoma – Case
5 m.Pleomorphic Adenoma of the Nasal Cavity
4 m.Carcinoma Ex Pleomorphic Adenoma
4 m.Advanced Imaging for Salivary Gland Neoplasms – Summary
4 m.Monomorphic Adenoma – Case
2 m.Prognosis of Pleomorphic Adenoma
4 m.Warthin’s Tumor – Summary
5 m.Warthin's Tumor
4 m.Extraparotid Warthin's Tumor
3 m.Multiple Parotid Masses – Summary
3 m.Onocoytomas – Summary
4 m.Oncocytoma
2 m.Schwannoma of the Intraparotid Facial Nerve
2 m.Malignant Neoplasms – Summary
4 m.Mucoepidermoid Carcinoma
4 m.Parotid Mucoepidermoid Carcinoma
3 m.Malignancy Salivary Neoplasm Features - Summary
2 m.Adenoid Cystic Carcinoma – Summary
5 m.Adenoid Cystic Carcinoma
9 m.Adenoid Cystic Carcinoma of the Tongue
3 m.Perineural Spread – Summary
2 m.Perineural Spread in a Large Cell Undifferentiated Carcinoma
4 m.Parotid Squamous Cell Carcinoma
3 m.Left Parotid Squamous Cell Carcinoma – Case
2 m.Adenocarcinomas – Summary
3 m.Parotid Adenocarcinoma
2 m.Recurrent Parotid Adenocarcinoma
3 m.Parotid Lymphoma - Summary
2 m.Parotid Lymphoma on CT
2 m.Parotid Lymphoma on PET-CT
2 m.Acinic Cell Carcinoma
2 m.Sialolithiasis – Summary
6 m.Submandibular Sialithisis
3 m.Submandibular Saialithiasis on MRI
2 m.Submandibular Sialodocholithiasis and Parotid Sialolithiasis
5 m.Salivary Calcifications and Cysts
2 m.Parotid Sialodocholithiasis and Sialectasia on MRI
2 m.Sjögren’s Syndrome – Summary
5 m.Sjögren’s Syndrome
2 m.Kuttner Lesion – Summary
2 m.Salivary Gland Cysts – Summary
6 m.Lympoepithelial Cyst in HIV
3 m.Sialadenitis in HIV
5 m.Ranulas – Summary
4 m.Bilateral Ranulas
2 m.Ranula - Clinical Correlation
1 m.Sialocele – Summary
4 m.0:01
I do want to make one point about perineural
0:04
spread of malignancies.
0:06
Although adenoid cystic carcinoma,
0:09
of all the malignancies,
0:10
has the highest rate of perineural spread,
0:13
that is 50% to 60%,
0:16
the most common tumor associated with perineural spread
0:19
is squamous cell carcinoma. And why is that?
0:23
It's because the prevalence of squamous cell carcinoma
0:27
is so much higher than adenoid cystic carcinoma.
0:30
We see squamous cell carcinoma throughout
0:32
the aerodigestive system.
0:34
And although it has a lower rate of spread just
0:38
by virtue of its much higher frequency,
0:41
it is the tumor that has the highest
0:43
rate of perineural spread.
0:46
Besides squamous cell and adenoid cystic carcinoma,
0:49
lymphoma also may spread up the cranial
0:53
nerves via perineural spread.
0:56
When I speak about squamous cell carcinoma,
0:58
I also should talk about skin cancers.
1:01
And it's true that squamous cell carcinoma of the skin as
1:04
well as, to a lesser extent, basal cell and melanoma both,
1:09
all three of them have a small rate of perineural spread
1:13
in the skin, and that can lead to deep invasion.
1:18
Remember that for perineural spread on CT scan.
1:21
Generally,
1:21
what we're looking for is bony destruction
1:23
of the foramina at the skull base,
1:25
because we usually are not able to actually
1:27
see the nerve itself that well.
1:29
Nor can we see contrast enhancement of the nerves
1:33
that well on CT. With MRI scanning, however,
1:37
we do see thick nerves, we see enhanced nerves,
1:40
and we also may see the bony destruction and foraminal
1:43
widening, which may also be present on CT scanning.
Perineural Spread – Summary
HIDEInteractive Transcript
0:01
I do want to make one point about perineural
0:04
spread of malignancies.
0:06
Although adenoid cystic carcinoma,
0:09
of all the malignancies,
0:10
has the highest rate of perineural spread,
0:13
that is 50% to 60%,
0:16
the most common tumor associated with perineural spread
0:19
is squamous cell carcinoma. And why is that?
0:23
It's because the prevalence of squamous cell carcinoma
0:27
is so much higher than adenoid cystic carcinoma.
0:30
We see squamous cell carcinoma throughout
0:32
the aerodigestive system.
0:34
And although it has a lower rate of spread just
0:38
by virtue of its much higher frequency,
0:41
it is the tumor that has the highest
0:43
rate of perineural spread.
0:46
Besides squamous cell and adenoid cystic carcinoma,
0:49
lymphoma also may spread up the cranial
0:53
nerves via perineural spread.
0:56
When I speak about squamous cell carcinoma,
0:58
I also should talk about skin cancers.
1:01
And it's true that squamous cell carcinoma of the skin as
1:04
well as, to a lesser extent, basal cell and melanoma both,
1:09
all three of them have a small rate of perineural spread
1:13
in the skin, and that can lead to deep invasion.
1:18
Remember that for perineural spread on CT scan.
1:21
Generally,
1:21
what we're looking for is bony destruction
1:23
of the foramina at the skull base,
1:25
because we usually are not able to actually
1:27
see the nerve itself that well.
1:29
Nor can we see contrast enhancement of the nerves
1:33
that well on CT. With MRI scanning, however,
1:37
we do see thick nerves, we see enhanced nerves,
1:40
and we also may see the bony destruction and foraminal
1:43
widening, which may also be present on CT scanning.
Report
Description
Faculty
David M Yousem, MD, MBA
Professor of Radiology, Vice Chairman and Associate Dean
Johns Hopkins University
Tags
Salivary Glands
Neuroradiology
Neoplastic
Neck soft tissues
MRI
Head and Neck
CT
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