0
Clinical Problem Solving: Radiology |

Radiology Quiz Case 2

Ankit Agarwal, BA; Amol Mehta, BA; Prashanti Logeswaran, MD; Timothy P. Cooley, MD; Rathan M. Subramaniam, MD, PhD
Arch Otolaryngol Head Neck Surg. 2012;138(9):869. doi:10.1001/archoto.2012.1675.
Text Size: A A A
Published online

Extract

A 45-year-old white man reported hoarseness with intermittent dyspnea, coughing, and wheezing. He was diagnosed as having stage III N0M0 squamous cell carcinoma of the left supraglottis based on the findings of baseline diagnostic contrast-enhanced fludeoxyglucose F 18 (FDG) positron emission tomography and computed tomography (PET/CT). One month after diagnosis, he underwent an endoscopic supraglottic laryngectomy and bilateral modified radical neck dissections. Five months after diagnosis, he presented with recurrent disease in the left cervical lymph nodes and underwent a revision modified radical neck dissection followed by chemoradiotherapy with intensity-modulated radiotherapy and cisplatin. Eleven months after diagnosis, restaging PET/CT scans revealed an FDG avid mass in the left parotid gland, with a fine-needle aspirate showing metastatic squamous cell carcinoma. The patient underwent a left total parotidectomy followed by adjuvant treatment with a frameless robotic radiosurgery system (Cyberknife; Accuray Inc). Fifteen months after diagnosis, PET/CT scans demonstrated FDG avid submental and left supraclavicular lymph nodes, and the patient underwent surgical resection followed by 4 cycles of adjuvant chemotherapy with carboplatin and docetaxel.

Figures in this Article

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Place holder to copy figure label and caption
Graphic Jump Location

Figure 1.

Place holder to copy figure label and caption
Graphic Jump Location

Figure 2.

Place holder to copy figure label and caption
Graphic Jump Location

Figure 3.

Place holder to copy figure label and caption
Graphic Jump Location

Figure 4.

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles
Jobs
brightcove.createExperiences();