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Fluid-Fluid Level Formation: A Rare Finding of Extracranial Head and Neck Schwannomas
We present 3 cases of extracranial head and neck schwannomas exhibiting fluid-fluid levels. In the described cases, CT and MR imaging showed predominantly cystic components, intermixed with cellular components. Histopathologic examinations of excised specimens revealed hemosiderin deposition, reflec...
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Published in: | American journal of neuroradiology : AJNR 2009-08, Vol.30 (7), p.1451-1453 |
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creator | Kato, H Kanematsu, M Mizuta, K Aoki, M Yamada, K Yamakawa, H Iwama, T Hirose, Y |
description | We present 3 cases of extracranial head and neck schwannomas exhibiting fluid-fluid levels. In the described cases, CT and MR imaging showed predominantly cystic components, intermixed with cellular components. Histopathologic examinations of excised specimens revealed hemosiderin deposition, reflecting intratumoral hemorrhages, which was presumably a cause of fluid-fluid levels. Although fluid-fluid levels are nonspecific findings, schwannoma should be considered when radiologic images demonstrate marked cystic formation with fluid-fluid levels in extracranial head and neck tumors. |
doi_str_mv | 10.3174/ajnr.A1511 |
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In the described cases, CT and MR imaging showed predominantly cystic components, intermixed with cellular components. Histopathologic examinations of excised specimens revealed hemosiderin deposition, reflecting intratumoral hemorrhages, which was presumably a cause of fluid-fluid levels. Although fluid-fluid levels are nonspecific findings, schwannoma should be considered when radiologic images demonstrate marked cystic formation with fluid-fluid levels in extracranial head and neck tumors.</description><identifier>ISSN: 0195-6108</identifier><identifier>EISSN: 1936-959X</identifier><identifier>DOI: 10.3174/ajnr.A1511</identifier><identifier>PMID: 19279278</identifier><identifier>CODEN: AAJNDL</identifier><language>eng</language><publisher>Oak Brook, IL: Am Soc Neuroradiology</publisher><subject>Adult ; Aged, 80 and over ; Biological and medical sciences ; Brain Neoplasms - diagnosis ; Cyst Fluid - cytology ; Cyst Fluid - diagnostic imaging ; Female ; Head & Neck ; Head and Neck Neoplasms - diagnosis ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Magnetic Resonance Imaging - methods ; Male ; Medical sciences ; Middle Aged ; Nervous system ; Neurilemmoma - diagnosis ; Radiodiagnosis. Nmr imagery. 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In the described cases, CT and MR imaging showed predominantly cystic components, intermixed with cellular components. Histopathologic examinations of excised specimens revealed hemosiderin deposition, reflecting intratumoral hemorrhages, which was presumably a cause of fluid-fluid levels. Although fluid-fluid levels are nonspecific findings, schwannoma should be considered when radiologic images demonstrate marked cystic formation with fluid-fluid levels in extracranial head and neck tumors.</description><subject>Adult</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Brain Neoplasms - diagnosis</subject><subject>Cyst Fluid - cytology</subject><subject>Cyst Fluid - diagnostic imaging</subject><subject>Female</subject><subject>Head & Neck</subject><subject>Head and Neck Neoplasms - diagnosis</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nervous system</subject><subject>Neurilemmoma - diagnosis</subject><subject>Radiodiagnosis. Nmr imagery. 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Nmr spectrometry</topic><topic>Tomography, X-Ray Computed - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kato, H</creatorcontrib><creatorcontrib>Kanematsu, M</creatorcontrib><creatorcontrib>Mizuta, K</creatorcontrib><creatorcontrib>Aoki, M</creatorcontrib><creatorcontrib>Yamada, K</creatorcontrib><creatorcontrib>Yamakawa, H</creatorcontrib><creatorcontrib>Iwama, T</creatorcontrib><creatorcontrib>Hirose, Y</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of neuroradiology : AJNR</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kato, H</au><au>Kanematsu, M</au><au>Mizuta, K</au><au>Aoki, M</au><au>Yamada, K</au><au>Yamakawa, H</au><au>Iwama, T</au><au>Hirose, Y</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fluid-Fluid Level Formation: A Rare Finding of Extracranial Head and Neck Schwannomas</atitle><jtitle>American journal of neuroradiology : AJNR</jtitle><addtitle>AJNR Am J Neuroradiol</addtitle><date>2009-08-01</date><risdate>2009</risdate><volume>30</volume><issue>7</issue><spage>1451</spage><epage>1453</epage><pages>1451-1453</pages><issn>0195-6108</issn><eissn>1936-959X</eissn><coden>AAJNDL</coden><abstract>We present 3 cases of extracranial head and neck schwannomas exhibiting fluid-fluid levels. In the described cases, CT and MR imaging showed predominantly cystic components, intermixed with cellular components. Histopathologic examinations of excised specimens revealed hemosiderin deposition, reflecting intratumoral hemorrhages, which was presumably a cause of fluid-fluid levels. Although fluid-fluid levels are nonspecific findings, schwannoma should be considered when radiologic images demonstrate marked cystic formation with fluid-fluid levels in extracranial head and neck tumors.</abstract><cop>Oak Brook, IL</cop><pub>Am Soc Neuroradiology</pub><pmid>19279278</pmid><doi>10.3174/ajnr.A1511</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Aged, 80 and over Biological and medical sciences Brain Neoplasms - diagnosis Cyst Fluid - cytology Cyst Fluid - diagnostic imaging Female Head & Neck Head and Neck Neoplasms - diagnosis Humans Investigative techniques, diagnostic techniques (general aspects) Magnetic Resonance Imaging - methods Male Medical sciences Middle Aged Nervous system Neurilemmoma - diagnosis Radiodiagnosis. Nmr imagery. Nmr spectrometry Tomography, X-Ray Computed - methods |
title | Fluid-Fluid Level Formation: A Rare Finding of Extracranial Head and Neck Schwannomas |
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