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Head and neck sarcomas: imaging "pearls" and "mimics"
Xin-Ying Kowa1, Sofia Otero1, Susan Jawad1
1Department of Imaging, University College Hospitals London NHS Foundation Trust, London, UK.
The British Journal of Radiology
|November 12, 2020
Summary
This review covers common head and neck sarcomas, focusing on diagnostic clues and imaging pitfalls for bone and soft tissue tumors. Early recognition aids timely referral to specialized sarcoma units for effective treatment.
Area of Science:
- Oncology
- Radiology
- Pathology
Background:
- Sarcomas are rare malignancies originating in various head and neck locations.
- Subtypes include bone and soft tissue sarcomas, with radiation-induced sarcomas being a specific concern.
Purpose of the Study:
- To review characteristic features of common head and neck sarcomas.
- To emphasize diagnostic pearls and imaging mimics for radiologists.
- To facilitate accurate differential diagnosis and expedite patient referral.
Main Methods:
- Literature review of sarcoma subtypes in the head and neck.
- Analysis of characteristic imaging findings.
- Identification of common diagnostic challenges and mimics.
Main Results:
- Detailed description of common bone and soft tissue sarcoma subtypes.
- Highlighting key imaging features for diagnosis.
- Discussion of entities that mimic sarcomas on imaging.
Conclusions:
- Radiologists require knowledge of sarcoma features and mimics for accurate diagnosis.
- Timely identification and referral to sarcoma units are crucial for optimal management.
- This review provides essential information for improving diagnostic accuracy in head and neck sarcomas.

