Sinonasal Tumors: What the Multidisciplinary Cancer Care Board Wants to Know.

IF 5.2 1区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiographics Pub Date : 2024-10-01 DOI:10.1148/rg.240035

Gregory D Avey,Ian J Koszewski,Mohit Agarwal,Levi A Endelman,Marin A McDonald,Adam R Burr,Justine Yang Bruce,Lauren Penn,Tabassum A Kennedy

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Abstract

Sinonasal neoplasms are a remarkably heterogeneous group, reflecting the numerous tissue types present in the nasal cavity and paranasal sinuses. These entities can be relatively benign (ie, respiratory epithelial adenomatoid hamartoma) or can be exceedingly aggressive (ie, NUT carcinoma). Certain sinonasal tumors have a propensity to spread through local invasion and destruction, while others have a high likelihood of perineural spread. The genetic and molecular mechanisms underlying sinonasal tumor behavior have recently become better understood, and new tumor types have been described using these genetic and molecular data. This has prompted an expansion in the number of tumors included in the World Health Organization fifth edition classification system for head and neck tumors, along with a new classification structure. Radiologists' familiarity with this classification structure is crucial to understanding the expected behavior of these tumors and to collaboration with the multidisciplinary cancer care board in making decisions for optimal patient care. ©RSNA, 2024.

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鼻窦肿瘤：多学科癌症护理委员会想知道什么？

鼻窦肿瘤是一类异质性很强的肿瘤，反映了鼻腔和副鼻窦中存在的众多组织类型。这些肿瘤可以是相对良性的（如呼吸道上皮腺瘤样火腿肠瘤），也可以是侵袭性极强的肿瘤（如 NUT 癌）。某些鼻窦肿瘤有通过局部侵袭和破坏扩散的倾向，而其他肿瘤则很可能发生神经周围扩散。最近，人们对鼻窦肿瘤行为的遗传和分子机制有了更深入的了解，并利用这些遗传和分子数据描述了新的肿瘤类型。这促使世界卫生组织第五版头颈部肿瘤分类系统收录的肿瘤数量不断增加，同时还采用了新的分类结构。放射医师熟悉这种分类结构对于了解这些肿瘤的预期行为以及与多学科癌症治疗委员会合作做出最佳患者治疗决策至关重要。©RSNA，2024。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Radiographics 医学-核医学

CiteScore

8.20

自引率

5.50%

发文量

224

审稿时长

4-8 weeks

期刊介绍： Launched by the Radiological Society of North America (RSNA) in 1981, RadioGraphics is one of the premier education journals in diagnostic radiology. Each bimonthly issue features 15–20 practice-focused articles spanning the full spectrum of radiologic subspecialties and addressing topics such as diagnostic imaging techniques, imaging features of a disease or group of diseases, radiologic-pathologic correlation, practice policy and quality initiatives, imaging physics, informatics, and lifelong learning. A special issue, a monograph focused on a single subspecialty or on a crossover topic of interest to multiple subspecialties, is published each October. Each issue offers more than a dozen opportunities to earn continuing medical education credits that qualify for AMA PRA Category 1 CreditTM and all online activities can be applied toward the ABR MOC Self-Assessment Requirement.