Radiological features of thyroid-like low-grade nasopharyngeal papillary adenocarcinoma: case series and systematic review

Purpose To comprehensively summarize the clinical data and CT/MRI characteristics of thyroid-like low-grade nasopharyngeal papillary adenocarcinoma (TL-LGNPPA). Methods Twenty-seven lesions from 25 study articles identified through a systematic review and three lesions from our institution associate...

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Published in:	Neuroradiology Vol. 66; no. 2; pp. 249 - 259
Main Authors:	Baba, Akira, Matsushima, Satoshi, Kessoku, Hisashi, Omura, Kazuhiro, Kurokawa, Ryo, Fukasawa, Nei, Takeshita, Yuhei, Yamauchi, Hideomi, Ogino, Nobuhiro, Kayama, Reina, Uchihara, Kimiyuki, Yoshimatsu, Lynn, Ojiri, Hiroya
Format:	Journal Article
Language:	English
Published:	Berlin/Heidelberg Springer Berlin Heidelberg 01-02-2024 Springer Nature B.V
Subjects:	Adenocarcinoma Cancer Computed tomography Diagnosis Head-Neck-ENT Radiology Imaging Lesions Medical imaging Medicine Medicine & Public Health Metastases Neurology Neuroradiology Neurosciences Neurosurgery Radiology Sclerosis Skull Systematic review Thyroid Thyroid gland Systematic review Thyroid-like low-grade nasopharyngeal papillary adenocarcinoma Computed tomography Magnetic resonance imaging
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Abstract	Purpose To comprehensively summarize the clinical data and CT/MRI characteristics of thyroid-like low-grade nasopharyngeal papillary adenocarcinoma (TL-LGNPPA). Methods Twenty-seven lesions from 25 study articles identified through a systematic review and three lesions from our institution associated with TL-LGNPPA were evaluated. Results The mean age of the patients at diagnosis was 35.7 years, and the male-to-female ratio was nearly half. The chief complaint was nasal obstruction, followed by epistaxis. All patients underwent excision. None of the patients had neck nodes or distant metastases. All patients survived with no locoregional/distant recurrence during 3–93 months of follow-up. All lesions were located at the posterior edge of the nasal septum, attached to the nasopharyngeal parietal wall, and showed no laterality. The mean lesion diameter was 1.7 cm. The margins of lesions were well-defined and lobulated, followed by well-defined smooth margins. None of lesions were associated with parapharyngeal space or skull base destruction. All lesions were iso- and low-density on non-contrast CT. Adjacent skull base sclerosis was detected in 63.6% of lesions. High signal intensity on T2-weighted imaging and mostly iso-signal intensity on T1-weighted imaging compared to muscle tissue. Most lesions were heterogeneous and exhibited moderate contrast enhancement. Relatively large lesions (≥1.4 cm) tended to be more lobulated than smooth margins compared to relatively small lesions (<1.4 cm) ( p = 0.016). Conclusion We summarized the clinical and radiological features of TL-LGNPPA to facilitate accurate diagnosis and appropriate management.
AbstractList	PURPOSETo comprehensively summarize the clinical data and CT/MRI characteristics of thyroid-like low-grade nasopharyngeal papillary adenocarcinoma (TL-LGNPPA).METHODSTwenty-seven lesions from 25 study articles identified through a systematic review and three lesions from our institution associated with TL-LGNPPA were evaluated.RESULTSThe mean age of the patients at diagnosis was 35.7 years, and the male-to-female ratio was nearly half. The chief complaint was nasal obstruction, followed by epistaxis. All patients underwent excision. None of the patients had neck nodes or distant metastases. All patients survived with no locoregional/distant recurrence during 3-93 months of follow-up. All lesions were located at the posterior edge of the nasal septum, attached to the nasopharyngeal parietal wall, and showed no laterality. The mean lesion diameter was 1.7 cm. The margins of lesions were well-defined and lobulated, followed by well-defined smooth margins. None of lesions were associated with parapharyngeal space or skull base destruction. All lesions were iso- and low-density on non-contrast CT. Adjacent skull base sclerosis was detected in 63.6% of lesions. High signal intensity on T2-weighted imaging and mostly iso-signal intensity on T1-weighted imaging compared to muscle tissue. Most lesions were heterogeneous and exhibited moderate contrast enhancement. Relatively large lesions (≥1.4 cm) tended to be more lobulated than smooth margins compared to relatively small lesions (<1.4 cm) (p = 0.016).CONCLUSIONWe summarized the clinical and radiological features of TL-LGNPPA to facilitate accurate diagnosis and appropriate management. To comprehensively summarize the clinical data and CT/MRI characteristics of thyroid-like low-grade nasopharyngeal papillary adenocarcinoma (TL-LGNPPA). Twenty-seven lesions from 25 study articles identified through a systematic review and three lesions from our institution associated with TL-LGNPPA were evaluated. The mean age of the patients at diagnosis was 35.7 years, and the male-to-female ratio was nearly half. The chief complaint was nasal obstruction, followed by epistaxis. All patients underwent excision. None of the patients had neck nodes or distant metastases. All patients survived with no locoregional/distant recurrence during 3-93 months of follow-up. All lesions were located at the posterior edge of the nasal septum, attached to the nasopharyngeal parietal wall, and showed no laterality. The mean lesion diameter was 1.7 cm. The margins of lesions were well-defined and lobulated, followed by well-defined smooth margins. None of lesions were associated with parapharyngeal space or skull base destruction. All lesions were iso- and low-density on non-contrast CT. Adjacent skull base sclerosis was detected in 63.6% of lesions. High signal intensity on T2-weighted imaging and mostly iso-signal intensity on T1-weighted imaging compared to muscle tissue. Most lesions were heterogeneous and exhibited moderate contrast enhancement. Relatively large lesions (≥1.4 cm) tended to be more lobulated than smooth margins compared to relatively small lesions (<1.4 cm) (p = 0.016). We summarized the clinical and radiological features of TL-LGNPPA to facilitate accurate diagnosis and appropriate management. Purpose To comprehensively summarize the clinical data and CT/MRI characteristics of thyroid-like low-grade nasopharyngeal papillary adenocarcinoma (TL-LGNPPA). Methods Twenty-seven lesions from 25 study articles identified through a systematic review and three lesions from our institution associated with TL-LGNPPA were evaluated. Results The mean age of the patients at diagnosis was 35.7 years, and the male-to-female ratio was nearly half. The chief complaint was nasal obstruction, followed by epistaxis. All patients underwent excision. None of the patients had neck nodes or distant metastases. All patients survived with no locoregional/distant recurrence during 3–93 months of follow-up. All lesions were located at the posterior edge of the nasal septum, attached to the nasopharyngeal parietal wall, and showed no laterality. The mean lesion diameter was 1.7 cm. The margins of lesions were well-defined and lobulated, followed by well-defined smooth margins. None of lesions were associated with parapharyngeal space or skull base destruction. All lesions were iso- and low-density on non-contrast CT. Adjacent skull base sclerosis was detected in 63.6% of lesions. High signal intensity on T2-weighted imaging and mostly iso-signal intensity on T1-weighted imaging compared to muscle tissue. Most lesions were heterogeneous and exhibited moderate contrast enhancement. Relatively large lesions (≥1.4 cm) tended to be more lobulated than smooth margins compared to relatively small lesions (<1.4 cm) ( p = 0.016). Conclusion We summarized the clinical and radiological features of TL-LGNPPA to facilitate accurate diagnosis and appropriate management.
Author	Yoshimatsu, Lynn Kessoku, Hisashi Yamauchi, Hideomi Fukasawa, Nei Uchihara, Kimiyuki Matsushima, Satoshi Omura, Kazuhiro Kayama, Reina Kurokawa, Ryo Takeshita, Yuhei Ojiri, Hiroya Baba, Akira Ogino, Nobuhiro
Author_xml	– sequence: 1 givenname: Akira orcidid: 0000-0001-6913-5307 surname: Baba fullname: Baba, Akira email: akirababa0120@gmail.com organization: Department of Radiology, The Jikei University School of Medicine – sequence: 2 givenname: Satoshi orcidid: 0000-0002-9940-5205 surname: Matsushima fullname: Matsushima, Satoshi organization: Department of Radiology, The Jikei University School of Medicine – sequence: 3 givenname: Hisashi orcidid: 0000-0002-1149-3985 surname: Kessoku fullname: Kessoku, Hisashi organization: Department of Otorhinolaryngology, The Jikei University School of Medicine – sequence: 4 givenname: Kazuhiro orcidid: 0000-0002-4337-4745 surname: Omura fullname: Omura, Kazuhiro organization: Department of Otorhinolaryngology, The Jikei University School of Medicine – sequence: 5 givenname: Ryo orcidid: 0000-0002-1186-8900 surname: Kurokawa fullname: Kurokawa, Ryo organization: Department of Radiology, The University of Tokyo – sequence: 6 givenname: Nei surname: Fukasawa fullname: Fukasawa, Nei organization: Department of Pathology, The Jikei University School of Medicine – sequence: 7 givenname: Yuhei surname: Takeshita fullname: Takeshita, Yuhei organization: Department of Radiology, Kyorin University School of Medicine – sequence: 8 givenname: Hideomi surname: Yamauchi fullname: Yamauchi, Hideomi organization: Department of Radiology, The Jikei University School of Medicine – sequence: 9 givenname: Nobuhiro surname: Ogino fullname: Ogino, Nobuhiro organization: Department of Radiology, The Jikei University School of Medicine – sequence: 10 givenname: Reina surname: Kayama fullname: Kayama, Reina organization: Department of Radiology, The Jikei University School of Medicine – sequence: 11 givenname: Kimiyuki surname: Uchihara fullname: Uchihara, Kimiyuki organization: Department of Radiology, The Jikei University School of Medicine – sequence: 12 givenname: Lynn surname: Yoshimatsu fullname: Yoshimatsu, Lynn organization: Department of Radiology, The Jikei University School of Medicine – sequence: 13 givenname: Hiroya orcidid: 0000-0002-5573-6299 surname: Ojiri fullname: Ojiri, Hiroya organization: Department of Radiology, The Jikei University School of Medicine
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Keywords	Systematic review Thyroid-like low-grade nasopharyngeal papillary adenocarcinoma Computed tomography Magnetic resonance imaging
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Snippet	Purpose To comprehensively summarize the clinical data and CT/MRI characteristics of thyroid-like low-grade nasopharyngeal papillary adenocarcinoma... To comprehensively summarize the clinical data and CT/MRI characteristics of thyroid-like low-grade nasopharyngeal papillary adenocarcinoma (TL-LGNPPA).... PurposeTo comprehensively summarize the clinical data and CT/MRI characteristics of thyroid-like low-grade nasopharyngeal papillary adenocarcinoma... PURPOSETo comprehensively summarize the clinical data and CT/MRI characteristics of thyroid-like low-grade nasopharyngeal papillary adenocarcinoma...
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SubjectTerms	Adenocarcinoma Cancer Computed tomography Diagnosis Head-Neck-ENT Radiology Imaging Lesions Medical imaging Medicine Medicine & Public Health Metastases Neurology Neuroradiology Neurosciences Neurosurgery Radiology Sclerosis Skull Systematic review Thyroid Thyroid gland
Title	Radiological features of thyroid-like low-grade nasopharyngeal papillary adenocarcinoma: case series and systematic review
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