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CC BY 4.0 · Indian J Med Paediatr Oncol 2023; 44(02): 175-180
DOI: 10.1055/s-0042-1760309
Review Article

Imaging Recommendations for Diagnosis, Staging, and Management of Nasopharynx Carcinoma

Chirag Kamal Ahuja
1   Division of Neuroimaging and Interventional Neuroradiology, Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Vivek Agarwal
2   Division of Neuro and Vascular Intervention, Department of Neurology, Christian Medical College and Hospital, Ludhiana, Punjab, India
,
Chirag Jain 
3   Department of Radiodiagnosis, VMMC and Safdarjung Hospital, New Delhi, India
,
Sameer Vyas
1   Division of Neuroimaging and Interventional Neuroradiology, Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Jyoti Kumar 
4   Department of Radiodiagnosis, Maulana Azad Medical College, New Delhi, India
,
Paramjeet Singh
1   Division of Neuroimaging and Interventional Neuroradiology, Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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Abstract

Nasopharyngeal carcinoma (NPC) is an epithelial carcinoma originating from lining of the nasopharyngeal mucosa usually at the fossa of Rosenmuller (pharyngeal recess). An early detection on endoscopy can be rewarding, however, often difficult as the tumor at the pharyngeal recess is hidden from the endoscopic view. Magnetic resonance imaging and positron emission tomography–computed tomography form the backbone of detection and spread of the carcinoma into local and distant regions. These modalities help further characterize the precise locoregional infiltration and lymph nodal involvement which aids in the planning of the surgery/chemoradiotherapy. They also help in the follow-up evaluation and further management strategies. Many research and treatment groups namely American Joint Committee on Cancer, National Comprehensive Cancer Network, American Society of Clinical Oncology, American College of Radiology, Radiological Society of North America, European Society of Radiology (iGuide), Indian Radiological & Imaging Association/Indian College of Radiology and Imaging, National Cancer Grid, etc. have devised guidelines for the optimal assessment and treatment of NPC. The present document aims at providing a comprehensive review of the clinicoradiological recommendations for the diagnosis and management of NPC based on these guidelines as well as personalized experience of the contributors.

Keywords

nasopharyngeal carcinoma - diagnosis - staging - magnetic resonance imaging - computed tomography

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Publication History

Article published online:
01 March 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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