Squamous cell carcinoma involving trigeminal nerve, second division

Case contributed by Dr J. Ray Ballinger

Presentation

Squamous cell carcinoma of the face.

Patient Data

Age: 53 years
Gender: Male

An enhancing soft tissue mass is seen in the left infraorbital foramen, extending along the course of V2 back to the cavernous sinus from the facial squamous carcinoma. 

Case Discussion

The findings are compatible with perineural spread of the patient's squamous cell carcinoma. Fat suppression may help the conspicuous of subtle enhancement, especially in the optic nerve. At high field strengths, susceptibility artifacts from the tissue-air interface at the margins of the maxillary sinus may actually be a hindrance if CHESS fat suppression is used to look at the V2 nerve.
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Case information

rID: 23801
Case created: 9th Jul 2013
Last edited: 18th Sep 2015
System: Head & Neck
Inclusion in quiz mode: Included

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