BRAIN METASTASES FROM HEAD AND NECK CANCER

Aim of the study The aim of the study is to illustrate MRI characteristics of secondary brain lesions from head and neck tumors. The primary objective is to identify specific features of this subtype of BMs, the secondary objective is to analyze the cohort of patients. Material and methods We select...

Full description

Saved in:
Bibliographic Details
Main Authors: Daniela Pomohaci, Danisia Haba, Mihaela-Roxana Popescu, Bogdan Ionut Dobrovat, Diana Andreea Ilinca, Costin Chirica, Emilia Adriana Marciuc, Daniel Marciuc, Oriana Oniciuc
Format: Article
Language:English
Published: Romanian Society of Oral Rehabilitation 2025-06-01
Series:Romanian Journal of Oral Rehabilitation
Online Access:https://rjor.ro/brain-metastases-from-head-and-neck-cancer/
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849390552334729216
author Daniela Pomohaci
Danisia Haba
Mihaela-Roxana Popescu
Bogdan Ionut Dobrovat
Diana Andreea Ilinca
Costin Chirica
Emilia Adriana Marciuc
Daniel Marciuc
Oriana Oniciuc
author_facet Daniela Pomohaci
Danisia Haba
Mihaela-Roxana Popescu
Bogdan Ionut Dobrovat
Diana Andreea Ilinca
Costin Chirica
Emilia Adriana Marciuc
Daniel Marciuc
Oriana Oniciuc
author_sort Daniela Pomohaci
collection DOAJ
description Aim of the study The aim of the study is to illustrate MRI characteristics of secondary brain lesions from head and neck tumors. The primary objective is to identify specific features of this subtype of BMs, the secondary objective is to analyze the cohort of patients. Material and methods We selected patients with histopathological confirmation of BMs and with complete MRI acquisitions, diagnosed in our hospital from 2020 to 2023. We performed statistical analysis of numerical and categorical variables through univariate and bivariate analysis, using t-test and Mann-Whitney-U test, for gaussian and respectively non-gaussian distribution of our data. Results In total were included 85 patients, of which 3 (3.5%) had BMs from primary HNC: a female patient of 74 y. old with sinonasal undifferentiated carcinoma and skull base invasion, a male patient of 48 y. old with submandibular duct carcinoma and a male patient of 57 y. old with ectopic thyroid papillary carcinoma. Other three patients had confirmed carcinomas of the pharynx and larynx. Conclusions The patients presented a highly invasive subtype of neoplasia, as both undifferentiated carcinoma and duct carcinoma are aggressive. The BMs were infratentorial, edematous, with heterogeneous signals and solid with central necrosis in the submandibular carcinoma patient. The BMs from the sinonasal carcinoma had multiple small cystic lesions, both supra- and infratentorial. The patient with BMs from an ectopic papillary thyroid carcinoma could be the first confirmed case of its kind, as no other was anteriorly histologically proved with BMs. He had multiple lesions, the largest one, cystic with peripheric enhancement in the left parietal lobe.
format Article
id doaj-art-dc4d3721e2184dac86dce767d6d7f6dc
institution Kabale University
issn 2066-7000
2601-4661
language English
publishDate 2025-06-01
publisher Romanian Society of Oral Rehabilitation
record_format Article
series Romanian Journal of Oral Rehabilitation
spelling doaj-art-dc4d3721e2184dac86dce767d6d7f6dc2025-08-20T03:41:31ZengRomanian Society of Oral RehabilitationRomanian Journal of Oral Rehabilitation2066-70002601-46612025-06-0117244145110.62610/RJOR.2025.2.17.40BRAIN METASTASES FROM HEAD AND NECK CANCERDaniela Pomohaci0Danisia Haba1Mihaela-Roxana Popescu2Bogdan Ionut Dobrovat3Diana Andreea Ilinca4Costin Chirica5Emilia Adriana Marciuc6Daniel Marciuc7Oriana Oniciuc8Grigore T. Popa University of Medicine and PharmacyGrigore T. Popa University of Medicine and PharmacyGrigore T. Popa University of Medicine and PharmacyGrigore T. Popa University of Medicine and PharmacyGrigore T. Popa University of Medicine and PharmacyGrigore T. Popa University of Medicine and PharmacyGrigore T. Popa University of Medicine and PharmacyGrigore T. Popa University of Medicine and PharmacyAlexanru Ioan Cuza University Iasi Aim of the study The aim of the study is to illustrate MRI characteristics of secondary brain lesions from head and neck tumors. The primary objective is to identify specific features of this subtype of BMs, the secondary objective is to analyze the cohort of patients. Material and methods We selected patients with histopathological confirmation of BMs and with complete MRI acquisitions, diagnosed in our hospital from 2020 to 2023. We performed statistical analysis of numerical and categorical variables through univariate and bivariate analysis, using t-test and Mann-Whitney-U test, for gaussian and respectively non-gaussian distribution of our data. Results In total were included 85 patients, of which 3 (3.5%) had BMs from primary HNC: a female patient of 74 y. old with sinonasal undifferentiated carcinoma and skull base invasion, a male patient of 48 y. old with submandibular duct carcinoma and a male patient of 57 y. old with ectopic thyroid papillary carcinoma. Other three patients had confirmed carcinomas of the pharynx and larynx. Conclusions The patients presented a highly invasive subtype of neoplasia, as both undifferentiated carcinoma and duct carcinoma are aggressive. The BMs were infratentorial, edematous, with heterogeneous signals and solid with central necrosis in the submandibular carcinoma patient. The BMs from the sinonasal carcinoma had multiple small cystic lesions, both supra- and infratentorial. The patient with BMs from an ectopic papillary thyroid carcinoma could be the first confirmed case of its kind, as no other was anteriorly histologically proved with BMs. He had multiple lesions, the largest one, cystic with peripheric enhancement in the left parietal lobe. https://rjor.ro/brain-metastases-from-head-and-neck-cancer/
spellingShingle Daniela Pomohaci
Danisia Haba
Mihaela-Roxana Popescu
Bogdan Ionut Dobrovat
Diana Andreea Ilinca
Costin Chirica
Emilia Adriana Marciuc
Daniel Marciuc
Oriana Oniciuc
BRAIN METASTASES FROM HEAD AND NECK CANCER
Romanian Journal of Oral Rehabilitation
title BRAIN METASTASES FROM HEAD AND NECK CANCER
title_full BRAIN METASTASES FROM HEAD AND NECK CANCER
title_fullStr BRAIN METASTASES FROM HEAD AND NECK CANCER
title_full_unstemmed BRAIN METASTASES FROM HEAD AND NECK CANCER
title_short BRAIN METASTASES FROM HEAD AND NECK CANCER
title_sort brain metastases from head and neck cancer
url https://rjor.ro/brain-metastases-from-head-and-neck-cancer/
work_keys_str_mv AT danielapomohaci brainmetastasesfromheadandneckcancer
AT danisiahaba brainmetastasesfromheadandneckcancer
AT mihaelaroxanapopescu brainmetastasesfromheadandneckcancer
AT bogdanionutdobrovat brainmetastasesfromheadandneckcancer
AT dianaandreeailinca brainmetastasesfromheadandneckcancer
AT costinchirica brainmetastasesfromheadandneckcancer
AT emiliaadrianamarciuc brainmetastasesfromheadandneckcancer
AT danielmarciuc brainmetastasesfromheadandneckcancer
AT orianaoniciuc brainmetastasesfromheadandneckcancer