Head and Neck Cancer

Question 1

When is radiological input required for H+N cancer care?

Answer 1

Diagnosis
Staging
Pre-radiotherapy
Treatment response
Recurrence
Post-op complications
Dental rehab

Question 2

What imaging can be used for the diagnosis of H+N cancer?

Answer 2

OPT
Ultrasound
Ultrasound guided biopsy
CBCT

Question 3

What are some warning signs on a dental radiograph of cancer?

Answer 3

Moth-eaten bone
Pathological fractures
Floating teeth
Spiking root resorption
Unusual PDL bone loss
Generalised widening of PDL
Thinning of cortico-endosteal margin

Question 4

What features on an ultrasound indicate cancer?

Answer 4

Rounded lymph nodes
Enlarged lymph nodes
Necrosis of nodes
Increased vascularity
Internal calcification

Question 5

What is the next line of imaging when the tumour cannot be visualised?

Answer 5

Positron emission tomography (PET/CT)

Question 6

Who is involved in the MDT for H+N cancer patients?

Answer 6

Surgeons
Radiologists
Clinical oncologists
SALT
Restorative dentists
Dieticians