SlideShare a Scribd company logo
ENE IN HEAD AND NECK CANCER
AJCC 8TH EDITION GUIDELINES
CLINICAL
1. A “matted” mass of nodes
2. Involvement of overlying skin, adjacent soft
tissue
3. Clinical signs of cranial nerve or brachial
plexus, sympathetic chain or phrenic nerve
invasion
RADIOLOGICAL
• Cross-sectional imaging (CT o rMR ) generally
has low sensitivity (6 5 -8 0% ) but high
specificity (86-93 %) for the detection of ENE.
• An indistinct nodal margin,
• Irregular nodal capsular enhancement or
• Infiltration into the adjacent fat or muscle,
with the latter finding on CT and MR imaging
as the most specific sign o f ENE.
The absence or presence of clinical/ radiologic
ENE is designated
EN E (-) or ENE(+), respectively.

More Related Content

What's hot

Carcinoma nasopharynx anatomy to management
Carcinoma nasopharynx anatomy to managementCarcinoma nasopharynx anatomy to management
Carcinoma nasopharynx anatomy to management
DrAyush Garg
 
Ear carcinoma
Ear carcinomaEar carcinoma
Ear carcinoma
DrAyush Garg
 
Malignant lesions of larynx
Malignant lesions of larynx Malignant lesions of larynx
Malignant lesions of larynx
Dr Safika Zaman
 
Nasopharyngeal Carcinoma
Nasopharyngeal Carcinoma Nasopharyngeal Carcinoma
Nasopharyngeal Carcinoma
Ali Azher
 
Management of neck metastasis (1)
Management of neck metastasis (1)Management of neck metastasis (1)
Management of neck metastasis (1)
Disha Sharma
 
Recent guidelines in management of oral and oropharyngeal carcinoma
Recent guidelines in management of oral and oropharyngeal carcinoma Recent guidelines in management of oral and oropharyngeal carcinoma
Recent guidelines in management of oral and oropharyngeal carcinoma
barun kumar
 
11.cancers of oropharynx & hypopharynx
11.cancers of oropharynx & hypopharynx11.cancers of oropharynx & hypopharynx
11.cancers of oropharynx & hypopharynx
Arnab Bose
 
Carcinoma Nasopharynx
Carcinoma NasopharynxCarcinoma Nasopharynx
Carcinoma Nasopharynx
fondas vakalis
 
Oropharynx cancer practical target delineation 2013 apr
Oropharynx cancer practical target delineation 2013 aprOropharynx cancer practical target delineation 2013 apr
Oropharynx cancer practical target delineation 2013 apr
Yong Chan Ahn
 
Nasopharynx
Nasopharynx Nasopharynx
Nasopharynx
Swarnita Sahu
 
malignancies of the larynx
malignancies of the larynxmalignancies of the larynx
malignancies of the larynx
Sarthak Moharir
 
Nasopharyngeal cancer
Nasopharyngeal cancerNasopharyngeal cancer
Nasopharyngeal cancer
Deepika Malik
 
Head And Neck Cancer
Head And Neck CancerHead And Neck Cancer
Head And Neck Cancer
Robert J Miller MD
 
Neck node management of unknown primary
Neck node management of unknown primaryNeck node management of unknown primary
Neck node management of unknown primary
Dr Rekha Arya
 
Head and neck cancer
Head and neck cancerHead and neck cancer
Head and neck cancer
ministry of health
 
Nasopharyngeal carcinoma
Nasopharyngeal carcinomaNasopharyngeal carcinoma
Nasopharyngeal carcinoma
Dr Krishna Koirala
 
Management of ca maxillary sinus
Management of ca maxillary sinusManagement of ca maxillary sinus
Management of ca maxillary sinus
DrAyush Garg
 
Nasopharyngeal Carcinoma
Nasopharyngeal CarcinomaNasopharyngeal Carcinoma
Nasopharyngeal Carcinoma
Balasubramanian Thiagarajan
 
Management of Cancer larynx
Management of Cancer larynxManagement of Cancer larynx
Management of Cancer larynx
ahmed elazony
 
Management of ca larynx and hypopharynx
Management of ca larynx and hypopharynxManagement of ca larynx and hypopharynx
Management of ca larynx and hypopharynx
Varshu Goel
 

What's hot (20)

Carcinoma nasopharynx anatomy to management
Carcinoma nasopharynx anatomy to managementCarcinoma nasopharynx anatomy to management
Carcinoma nasopharynx anatomy to management
 
Ear carcinoma
Ear carcinomaEar carcinoma
Ear carcinoma
 
Malignant lesions of larynx
Malignant lesions of larynx Malignant lesions of larynx
Malignant lesions of larynx
 
Nasopharyngeal Carcinoma
Nasopharyngeal Carcinoma Nasopharyngeal Carcinoma
Nasopharyngeal Carcinoma
 
Management of neck metastasis (1)
Management of neck metastasis (1)Management of neck metastasis (1)
Management of neck metastasis (1)
 
Recent guidelines in management of oral and oropharyngeal carcinoma
Recent guidelines in management of oral and oropharyngeal carcinoma Recent guidelines in management of oral and oropharyngeal carcinoma
Recent guidelines in management of oral and oropharyngeal carcinoma
 
11.cancers of oropharynx & hypopharynx
11.cancers of oropharynx & hypopharynx11.cancers of oropharynx & hypopharynx
11.cancers of oropharynx & hypopharynx
 
Carcinoma Nasopharynx
Carcinoma NasopharynxCarcinoma Nasopharynx
Carcinoma Nasopharynx
 
Oropharynx cancer practical target delineation 2013 apr
Oropharynx cancer practical target delineation 2013 aprOropharynx cancer practical target delineation 2013 apr
Oropharynx cancer practical target delineation 2013 apr
 
Nasopharynx
Nasopharynx Nasopharynx
Nasopharynx
 
malignancies of the larynx
malignancies of the larynxmalignancies of the larynx
malignancies of the larynx
 
Nasopharyngeal cancer
Nasopharyngeal cancerNasopharyngeal cancer
Nasopharyngeal cancer
 
Head And Neck Cancer
Head And Neck CancerHead And Neck Cancer
Head And Neck Cancer
 
Neck node management of unknown primary
Neck node management of unknown primaryNeck node management of unknown primary
Neck node management of unknown primary
 
Head and neck cancer
Head and neck cancerHead and neck cancer
Head and neck cancer
 
Nasopharyngeal carcinoma
Nasopharyngeal carcinomaNasopharyngeal carcinoma
Nasopharyngeal carcinoma
 
Management of ca maxillary sinus
Management of ca maxillary sinusManagement of ca maxillary sinus
Management of ca maxillary sinus
 
Nasopharyngeal Carcinoma
Nasopharyngeal CarcinomaNasopharyngeal Carcinoma
Nasopharyngeal Carcinoma
 
Management of Cancer larynx
Management of Cancer larynxManagement of Cancer larynx
Management of Cancer larynx
 
Management of ca larynx and hypopharynx
Management of ca larynx and hypopharynxManagement of ca larynx and hypopharynx
Management of ca larynx and hypopharynx
 

More from DrAyush Garg

Overview of Carcinoma Prostate and Genetics
Overview of Carcinoma Prostate and GeneticsOverview of Carcinoma Prostate and Genetics
Overview of Carcinoma Prostate and Genetics
DrAyush Garg
 
OSTEOSARCOMA
OSTEOSARCOMAOSTEOSARCOMA
OSTEOSARCOMA
DrAyush Garg
 
Overview of brain tumors
Overview of brain tumorsOverview of brain tumors
Overview of brain tumors
DrAyush Garg
 
Hormonal therapy in breast cancer
Hormonal therapy in breast cancerHormonal therapy in breast cancer
Hormonal therapy in breast cancer
DrAyush Garg
 
Multiple myeloma
Multiple myelomaMultiple myeloma
Multiple myeloma
DrAyush Garg
 
Medulloblastoma
MedulloblastomaMedulloblastoma
Medulloblastoma
DrAyush Garg
 
Role of palliative care in oncology
Role of palliative care in oncologyRole of palliative care in oncology
Role of palliative care in oncology
DrAyush Garg
 
Breast cancer screening, prevention and genetic counselling
Breast cancer screening, prevention and genetic counsellingBreast cancer screening, prevention and genetic counselling
Breast cancer screening, prevention and genetic counselling
DrAyush Garg
 
Role of SBRT in lung cancer
Role of SBRT in lung cancerRole of SBRT in lung cancer
Role of SBRT in lung cancer
DrAyush Garg
 
Role of hpv in head and neck tumors
Role of hpv in head and neck tumorsRole of hpv in head and neck tumors
Role of hpv in head and neck tumors
DrAyush Garg
 
Carcinoma esophagus
Carcinoma esophagusCarcinoma esophagus
Carcinoma esophagus
DrAyush Garg
 
Cancer vaccines final
Cancer vaccines finalCancer vaccines final
Cancer vaccines final
DrAyush Garg
 
Management of ca prostate
Management of ca prostateManagement of ca prostate
Management of ca prostate
DrAyush Garg
 
Clinical Trials in Carcinoma Prostate
Clinical Trials in Carcinoma ProstateClinical Trials in Carcinoma Prostate
Clinical Trials in Carcinoma Prostate
DrAyush Garg
 
Prognostic index in brain metastasis
Prognostic index in brain metastasisPrognostic index in brain metastasis
Prognostic index in brain metastasis
DrAyush Garg
 
Supportive care and quality of life
Supportive care and quality of lifeSupportive care and quality of life
Supportive care and quality of life
DrAyush Garg
 
Palliation brain, spinal and bone mets
Palliation brain, spinal and bone metsPalliation brain, spinal and bone mets
Palliation brain, spinal and bone mets
DrAyush Garg
 
Retinoblastoma
RetinoblastomaRetinoblastoma
Retinoblastoma
DrAyush Garg
 
Small cell lung cancer
Small cell lung cancerSmall cell lung cancer
Small cell lung cancer
DrAyush Garg
 
LOCALLY ADVANCED BREAST CANCER
LOCALLY ADVANCED BREAST CANCERLOCALLY ADVANCED BREAST CANCER
LOCALLY ADVANCED BREAST CANCER
DrAyush Garg
 

More from DrAyush Garg (20)

Overview of Carcinoma Prostate and Genetics
Overview of Carcinoma Prostate and GeneticsOverview of Carcinoma Prostate and Genetics
Overview of Carcinoma Prostate and Genetics
 
OSTEOSARCOMA
OSTEOSARCOMAOSTEOSARCOMA
OSTEOSARCOMA
 
Overview of brain tumors
Overview of brain tumorsOverview of brain tumors
Overview of brain tumors
 
Hormonal therapy in breast cancer
Hormonal therapy in breast cancerHormonal therapy in breast cancer
Hormonal therapy in breast cancer
 
Multiple myeloma
Multiple myelomaMultiple myeloma
Multiple myeloma
 
Medulloblastoma
MedulloblastomaMedulloblastoma
Medulloblastoma
 
Role of palliative care in oncology
Role of palliative care in oncologyRole of palliative care in oncology
Role of palliative care in oncology
 
Breast cancer screening, prevention and genetic counselling
Breast cancer screening, prevention and genetic counsellingBreast cancer screening, prevention and genetic counselling
Breast cancer screening, prevention and genetic counselling
 
Role of SBRT in lung cancer
Role of SBRT in lung cancerRole of SBRT in lung cancer
Role of SBRT in lung cancer
 
Role of hpv in head and neck tumors
Role of hpv in head and neck tumorsRole of hpv in head and neck tumors
Role of hpv in head and neck tumors
 
Carcinoma esophagus
Carcinoma esophagusCarcinoma esophagus
Carcinoma esophagus
 
Cancer vaccines final
Cancer vaccines finalCancer vaccines final
Cancer vaccines final
 
Management of ca prostate
Management of ca prostateManagement of ca prostate
Management of ca prostate
 
Clinical Trials in Carcinoma Prostate
Clinical Trials in Carcinoma ProstateClinical Trials in Carcinoma Prostate
Clinical Trials in Carcinoma Prostate
 
Prognostic index in brain metastasis
Prognostic index in brain metastasisPrognostic index in brain metastasis
Prognostic index in brain metastasis
 
Supportive care and quality of life
Supportive care and quality of lifeSupportive care and quality of life
Supportive care and quality of life
 
Palliation brain, spinal and bone mets
Palliation brain, spinal and bone metsPalliation brain, spinal and bone mets
Palliation brain, spinal and bone mets
 
Retinoblastoma
RetinoblastomaRetinoblastoma
Retinoblastoma
 
Small cell lung cancer
Small cell lung cancerSmall cell lung cancer
Small cell lung cancer
 
LOCALLY ADVANCED BREAST CANCER
LOCALLY ADVANCED BREAST CANCERLOCALLY ADVANCED BREAST CANCER
LOCALLY ADVANCED BREAST CANCER
 

Recently uploaded

SENSORY NEEDS B.SC. NURSING SEMESTER II.
SENSORY NEEDS B.SC. NURSING SEMESTER II.SENSORY NEEDS B.SC. NURSING SEMESTER II.
SENSORY NEEDS B.SC. NURSING SEMESTER II.
KULDEEP VYAS
 
Ageing, the Elderly, Gerontology and Public Health
Ageing, the Elderly, Gerontology and Public HealthAgeing, the Elderly, Gerontology and Public Health
Ageing, the Elderly, Gerontology and Public Health
phuakl
 
Lecture 6 -- Memory 2015.pptlearning occurs when a stimulus (unconditioned st...
Lecture 6 -- Memory 2015.pptlearning occurs when a stimulus (unconditioned st...Lecture 6 -- Memory 2015.pptlearning occurs when a stimulus (unconditioned st...
Lecture 6 -- Memory 2015.pptlearning occurs when a stimulus (unconditioned st...
AyushGadhvi1
 
Recent advances on Cervical cancer .pptx
Recent advances on Cervical cancer .pptxRecent advances on Cervical cancer .pptx
Recent advances on Cervical cancer .pptx
DrGirishJHoogar
 
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdfOsteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdf
Jim Jacob Roy
 
Nano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory projectNano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory project
SIVAVINAYAKPK
 
Cervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptxCervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptx
LEFLOT Jean-Louis
 
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
rishi2789
 
Cosmetology and Trichology Courses at Kosmoderma Academy PRP (Hair), DR Growt...
Cosmetology and Trichology Courses at Kosmoderma Academy PRP (Hair), DR Growt...Cosmetology and Trichology Courses at Kosmoderma Academy PRP (Hair), DR Growt...
Cosmetology and Trichology Courses at Kosmoderma Academy PRP (Hair), DR Growt...
Kosmoderma Academy Of Aesthetic Medicine
 
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
FFragrant
 
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.GawadHemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
NephroTube - Dr.Gawad
 
How to Control Your Asthma Tips by gokuldas hospital.
How to Control Your Asthma Tips by gokuldas hospital.How to Control Your Asthma Tips by gokuldas hospital.
How to Control Your Asthma Tips by gokuldas hospital.
Gokuldas Hospital
 
CHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdf
CHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdfCHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdf
CHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdf
rishi2789
 
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
Holistified Wellness
 
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPromoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
PsychoTech Services
 
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
Medical Quiz ( Online Quiz for API Meet 2024 ).pdfMedical Quiz ( Online Quiz for API Meet 2024 ).pdf
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
Jim Jacob Roy
 
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdfCHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
rishi2789
 
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International TravelersTravel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International Travelers
NX Healthcare
 
NARCOTICS- POLICY AND PROCEDURES FOR ITS USE
NARCOTICS- POLICY AND PROCEDURES FOR ITS USENARCOTICS- POLICY AND PROCEDURES FOR ITS USE
NARCOTICS- POLICY AND PROCEDURES FOR ITS USE
Dr. Ahana Haroon
 
10 Benefits an EPCR Software should Bring to EMS Organizations
10 Benefits an EPCR Software should Bring to EMS Organizations   10 Benefits an EPCR Software should Bring to EMS Organizations
10 Benefits an EPCR Software should Bring to EMS Organizations
Traumasoft LLC
 

Recently uploaded (20)

SENSORY NEEDS B.SC. NURSING SEMESTER II.
SENSORY NEEDS B.SC. NURSING SEMESTER II.SENSORY NEEDS B.SC. NURSING SEMESTER II.
SENSORY NEEDS B.SC. NURSING SEMESTER II.
 
Ageing, the Elderly, Gerontology and Public Health
Ageing, the Elderly, Gerontology and Public HealthAgeing, the Elderly, Gerontology and Public Health
Ageing, the Elderly, Gerontology and Public Health
 
Lecture 6 -- Memory 2015.pptlearning occurs when a stimulus (unconditioned st...
Lecture 6 -- Memory 2015.pptlearning occurs when a stimulus (unconditioned st...Lecture 6 -- Memory 2015.pptlearning occurs when a stimulus (unconditioned st...
Lecture 6 -- Memory 2015.pptlearning occurs when a stimulus (unconditioned st...
 
Recent advances on Cervical cancer .pptx
Recent advances on Cervical cancer .pptxRecent advances on Cervical cancer .pptx
Recent advances on Cervical cancer .pptx
 
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdfOsteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdf
 
Nano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory projectNano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory project
 
Cervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptxCervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptx
 
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
 
Cosmetology and Trichology Courses at Kosmoderma Academy PRP (Hair), DR Growt...
Cosmetology and Trichology Courses at Kosmoderma Academy PRP (Hair), DR Growt...Cosmetology and Trichology Courses at Kosmoderma Academy PRP (Hair), DR Growt...
Cosmetology and Trichology Courses at Kosmoderma Academy PRP (Hair), DR Growt...
 
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
 
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.GawadHemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
 
How to Control Your Asthma Tips by gokuldas hospital.
How to Control Your Asthma Tips by gokuldas hospital.How to Control Your Asthma Tips by gokuldas hospital.
How to Control Your Asthma Tips by gokuldas hospital.
 
CHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdf
CHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdfCHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdf
CHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdf
 
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
 
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPromoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
 
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
Medical Quiz ( Online Quiz for API Meet 2024 ).pdfMedical Quiz ( Online Quiz for API Meet 2024 ).pdf
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
 
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdfCHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
 
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International TravelersTravel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International Travelers
 
NARCOTICS- POLICY AND PROCEDURES FOR ITS USE
NARCOTICS- POLICY AND PROCEDURES FOR ITS USENARCOTICS- POLICY AND PROCEDURES FOR ITS USE
NARCOTICS- POLICY AND PROCEDURES FOR ITS USE
 
10 Benefits an EPCR Software should Bring to EMS Organizations
10 Benefits an EPCR Software should Bring to EMS Organizations   10 Benefits an EPCR Software should Bring to EMS Organizations
10 Benefits an EPCR Software should Bring to EMS Organizations
 

EXTRANODAL EXTENSION

  • 1. ENE IN HEAD AND NECK CANCER AJCC 8TH EDITION GUIDELINES
  • 2. CLINICAL 1. A “matted” mass of nodes 2. Involvement of overlying skin, adjacent soft tissue 3. Clinical signs of cranial nerve or brachial plexus, sympathetic chain or phrenic nerve invasion
  • 3. RADIOLOGICAL • Cross-sectional imaging (CT o rMR ) generally has low sensitivity (6 5 -8 0% ) but high specificity (86-93 %) for the detection of ENE. • An indistinct nodal margin, • Irregular nodal capsular enhancement or • Infiltration into the adjacent fat or muscle, with the latter finding on CT and MR imaging as the most specific sign o f ENE.
  • 4. The absence or presence of clinical/ radiologic ENE is designated EN E (-) or ENE(+), respectively.