Figure 2From: Prognostic factors in advanced pharyngeal and oral cavity cancer; significance of multimodality imaging in terms of 7th edition of TNMDifferent patterns of spread in nasopharyngeal cancer. A: Transverse post-contrast CT scan shows tumour destructing the left medial pterygoid lamina (long arrow), exceeding the choana and spreads along the lateral wall of the nasal cavity. Stage T3. B: contrast-enhanced T1-weighted MRI image demonstrates CA etxension to the parapharyngeal- (PPhS, long arrow), carotid- (CS, arrow-head) and masticator space (MS, short arrow) on the left side. Stage T4. C: Coronal contrast-enhanced CT image shows left sided destruction of the skull base (long arrow) and tumorous infiltration into the cavernous sinus (CaS, short arrow). Stage T4. D: Transverse post-contrast T1-weighted MR image demontrates tumour spread into the retropharyngeal space (RPhS, long arrow) on the right side, infiltrating the longus colli muscle, involving also the carotid- (CS, arrow-head), and paravertebral space (PVS, short arrow). Stage T4.Back to article page