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Review
. 2022 Feb;32(1):19-36.
doi: 10.1016/j.nic.2021.09.001.

Lymph Node Dissection: Principles and Postoperative Imaging

Affiliations
Review

Lymph Node Dissection: Principles and Postoperative Imaging

David Joyner et al. Neuroimaging Clin N Am. 2022 Feb.

Abstract

The management of neck nodes in head and neck cancer is critical, given a markedly increased poor prognosis in patients with nodal metastasis. The surgical management of neck nodes has undergone radical changes secondary to a paradigm shift from curative surgery to nonsurgical organ and function-preserving options, such as radiation therapy. In the neck after treatment, radiologists should be familiar with imaging findings in various types of neck dissections and post-chemoradiation changes, along with signs of residual or recurrent disease. A multidisciplinary approach is essential with well-designed evidence-based surveillance imaging protocols and standardized reporting.

Keywords: Head and neck cancer; Lymph node; NI-RADS; Neck dissection; Post treated neck; Surveillance imaging.

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Conflict of interest statement

Disclosure The authors have nothing to disclose.