Question 3053
{"accessible":false,"alternatives":[{"id":14826,"text":"acinic cell carcinoma"},{"id":14827,"text":"adenoid cystic carcinoma"},{"id":14828,"text":"mucoepidermoid carcinoma"},{"id":14829,"text":"oncocytoma"},{"id":14830,"text":"Warthin tumor"}],"archived":false,"correctAlternativeId":14827,"explanation":"\u003cp\u003eAdenoid cystic carcinoma is the second most common malignancy of the salivary glands.\u0026nbsp; They are usually locally aggressive and are associated with perineural tumor spread.\u0026nbsp; MRI is the modality of choice when evaluating for perineural tumor spread and will demonstrate an enlarged or enhancing nerve, extending away from the site of the primary tumor.\u003c/p\u003e","id":3053,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/3054","nextQuestionPath":null,"relatedArticles":[{"id":4284,"title":"Mucoepidermoid carcinoma of salivary glands","link":"/articles/mucoepidermoid-carcinoma-of-salivary-glands?lang=us"},{"id":20129,"title":"Adenoid cystic carcinoma of the salivary glands","link":"/articles/adenoid-cystic-carcinoma-of-the-salivary-glands-2?lang=us"},{"id":2015,"title":"Salivary gland tumors","link":"/articles/salivary-gland-tumours?lang=us"},{"id":9149,"title":"Acinic cell carcinoma (salivary glands)","link":"/articles/acinic-cell-carcinoma-salivary-glands?lang=us"},{"id":32714,"title":"Oncocytoma of the salivary glands","link":"/articles/oncocytoma-of-the-salivary-glands?lang=us"}],"alsoUsedIn":[{"id":2162,"kind":"Course","title":"2024 Virtual Conference Private Use - page 2162","link":"https://radiopaedia.org/courses/2024-virtual-conference-private-use/pages/2162"}],"stem":"\u003cp\u003eWhich of these salivary gland tumors has the most propensity for perineural tumor spread?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/3053"}],"attemptsPercentages":[{"alternativeId":"14827","percentage":100},{"alternativeId":"14826","percentage":0},{"alternativeId":"14828","percentage":0},{"alternativeId":"14829","percentage":0},{"alternativeId":"14830","percentage":0}],"promptToLogin":false,"questionManager":false,"articleId":"warthin-tumor"}