TY - JOUR T1 - Imaging Soft-tissue Sarcomas of the Head and Neck: A Tertiary Soft-tissue Sarcoma Unit Experience JF - Anticancer Research JO - Anticancer Res SP - 6223 LP - 6230 DO - 10.21873/anticanres.13831 VL - 39 IS - 11 AU - ALAA ALSADIK JALY AU - KHIN THWAY AU - PHILIP TOUSKA AU - ANITA WALE AU - AISHA MIAH AU - CYRUS KERAWALA AU - FRANCESCO RIVA AU - ELEANOR MOSKOVIC AU - ROBIN L. JONES AU - DIRK STRAUSS AU - DERFEL AP DAFYDD AU - CHRISTINA MESSIOU Y1 - 2019/11/01 UR - http://ar.iiarjournals.org/content/39/11/6223.abstract N2 - Background/Aim: To describe imaging features of head and neck soft-tissue sarcomas. Patients and Methods: Patients with a diagnosis of head and neck sarcoma between 2011 and 2015 were reviewed. Results: There were a total of 62 patients (24 female; median age=60 years). Most common sarcomas were angiosarcoma, undifferentiated pleomorphic sarcoma and sarcoma not otherwise specified. They were most commonly located in cranial and neck superficial soft tissues. Average tumour size at presentation was 45 mm. One patient had metastasis at presentation (rhabdomyosarcoma); two had nodal disease (rhabdomyosarcoma and angiosarcoma) and two tumours contained calcification (chondrosarcoma and synovial sarcoma). Four arose after prior radiotherapy. Conclusion: Unlike the more common diagnosis of squamous cell carcinoma, the majority of head and neck sarcomas present as large, solitary, superficial masses without lymph node enlargement. Identification of these features on imaging should raise suspicion of a sarcoma diagnosis, particularly in the setting of previous irradiation or genetic susceptibility. ER -