Head and neck pathology
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Head and neck pathology

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Head and neck pathology Head and neck pathology Presentation Transcript

  • Universidad de Guadalajara Centro Universitario Ciencias de la Salud Head and Neck PathologyGiovanna Lazcano Sherman Dr. Héctor Manuel Virgen Ayala September 2011 Dr. Benjamín Robles Mariscal
  • Peritonsillar Abscess
  • Peritonsillar AbscessF. H. Netter. “Atlas de anatomía humana”, Second edition. 2001, Page. 69. View slide
  • Secondary… Acute tonsillitis Duct Obstruction Weber View slide
  • Reason for consultation
  • Physical Examination W. J. Spicer. “Microbiología Medica y Enfermedades Infecciosas”, Second edition. 2009, Page. 118.
  • DiagnosisAspiretion Needle Insicion Drein the abscess
  • Thyroglossal duct cyst
  • Thyroid EmbryologyS. Langman. “Embriología Médica con orientación clínica”, 10ª edition. 2007, Page. 281.
  • In the routeof blind hole, can remain thyroid tissue. S. Langman. “Embriología Médica con orientación clínica”, 10ª edition. 2007, Page. 281.
  • F. H. Netter. “Sistema endocríno y enferedades metabólicas”, 1ª edition. 2006, Page. 45.
  • Differencial Diagnosis N. Wood; P.W Woaz.“Diagnóstico diferencial de las lesiones orales y maxilofaciales”, 5ª edition. 1998, Page. 535
  • ComplicationsInfections Malignancy papillary thyroid carcinoma
  • DiagnosisAspiration Needle InsicionScintigraphy
  • Scintigraphy PLoS Medicine: Perros P (2005) Thyrotoxicosis and Pregnancy. PLoS Med 2(12): e370doi:10.1371/journal.pmed.0020370 ( http://medicine.plosjournals.org/perlserv/?request=get- document&doi=10.1371/journal.pmed.0020370)
  • Treatment Sistrunk procedureL. Torrico. J. Rivero. K. Vasquez “Caso Clínico de Quiste Tirogloso”, recovered http://www.univalle.edu/publicaciones/revista_salud/revista06/pagina10.htm
  • ThyroidNeoplasms
  • HistologyA. Stevens; J.Lowe. “Histología Humana”, 3ª edition. 2006, Page. 279.
  • Thyroid nodulesWe have several methods for evaluating thyroid nodules and classify. The interrogation and physical examination are so important
  • Examinations would be useful, thyroid hormones, ultrasounds, biopsies,imaging with radio-iodine, x- rays, CT, MR.
  • Thyroid nodules R.F. Lick. “Atlas de patología quirúrgica”, 1ª edition. 1981, Page. 47.
  • Recurrent goiterR.F. Lick. “Atlas de patología quirúrgica”, 1ª edition. 1981, Page. 49.
  • Papillary adenocarcinoma 85%R.F. Lick. “Atlas de patología quirúrgica”, 1ªedition. 1981, Page. 53.
  • Follicular adenocarcinoma 10% R.F. Lick. “Atlas de patologíaquirúrgica”, 1ª edition. 1981, Page. 47.
  • Follicularadenocarcinoma R.F. Lick. “Atlas de patología quirúrgica”, 1ª edition. 1981, Page. 51.
  • Medullary carcinoma 7%Carcinoma thatcauses 15% of deaths from thyroid cancer Barbara F. Atkinson. “Atlas de Diagnostico Citopatologico”, 2ª edition. 2005, Page. 494.
  • Medullary carcinoma Doesn’t absorb radioactive iodine and produces calcitonin
  • Undifferentiated carcinoma1% R.F. Lick. “Atlas de patología quirúrgica”, 1ª edition. 1981, Page. 53.
  • Parathyroid
  • HistologyA. Stevens; J.Lowe. “Histología Humana”, 3ª edition. 2006, Page. 279.
  • AnatomyK. L. Moore; A. F. Delley. “Anatomía con orientación clínica”, 5ª edition. 2006, Page. 279.
  • Physiology Goldman; Ausiello. “Cecil, tratado de medicina interna”, 23ª edition. 2006, Page. 1113.
  • Primaryhyperparathyroidism
  • Arises from 0.1 to 0.3% of the population most common cause of hypercalcemia
  • CausesParathyroid adenoma 83%Multiple adenoma 6%Hyperplasia 10%Carcinoma 1%
  • Parathyroid adenoma R.F. Lick. “Atlas de patología quirúrgica”, 1ª edition. 1981, Page. 51.
  • 90% of all cases responsible for hypercalcemia are hyperparathyroidism and cancer
  • DiagnosisClinical findings andLaboratory tests
  • Laboratory testscalcium phosphate parathyroid hormone
  • Bone scans Bone densitometry X. Rays Recoveredhttp://intercambiosos.org/showthrea d.php?t=4558
  • Differencial Diagnosis Cancer Hyperthyroid Thiazide diuretics Milk-alkali syndromeFamilial hypocalciurichypercalcemia
  • Secondary TerciaryHyperparathyroidism
  • Parathyroidectomy Treatment HypoparathyroidismRecovered http://www.elsevier.es/es/redirect/deprecated?_f=7214&articuloid=13109149
  • Bibliography G. M. Doherty. “Diagnóstico y tratamientoQuirúrgicos”, thirteenth edition, México; 2006. Page. 204-205; 224-240 & 1013. L. Goldman; D. Ausiello. “Cecil, tratado de medicina interna” 23ª edition; Barcelona; España, 2009. Page.