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Head and neck pathology

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Head and neck pathology

  1. 1. Universidad de Guadalajara Robles Mariscal Benjamín Héctor Manuel Virgen Ayala Clínicas Quirúrgicas Arias Siordia Abraham Septiembre, 2011 Centro Universitario de Ciencias de la Salud Head and Neck Pathology
  2. 2. Head and Neck Pathology Soft Tissue Tumors
  3. 3. Ciphers 1% 59% 19% 15% 9%
  4. 4. facial and cervical t issue 100 Benign 50 Malignant 2/100,000/year
  5. 5. Causes and risk factors Genetic predisposition Radiation Exposure Lymphedema Injuries Chemical
  6. 6. Cancer staging Tumor Grade Size Metastasis Stage 1 Stage 2 Stage 3 Stage 4
  7. 7. Lipoma - Liposarcoma Fibroma - Fibrosarcoma Neurofibroma - Neurosarcoma Lymphangioma – lymphangiosarcoma Hemangioma – Hemangiosarcoma Leiomyoma – Leiomyosarcoma Rhabdomyoma - Rhabdomyosarcoma
  8. 8. Lymphangioma
  9. 9. Hemangioma
  10. 10. Clinical Evaluation and Diagnosis Neurological symptoms Vascular PAAF Excisional biopsy NMR CT
  11. 11. Treatment Functionality Surgery Surgical removal Chemotherapy
  12. 12. Head and Neck Pathology Mumps and parotid tumors and salivary glands
  13. 13. Mumps Mixovirus parotiditis . Staphylococcal infection Primary Secondary
  14. 14. Signs and symptoms Inflammation Headache Fever 38°C Local pain Orchitis
  15. 15. Diagnosis Inflammation IgM Specifies Virus Insulation PCR
  16. 16. Treatment Insulation – Paracetamol Meningitis Orchitis Pancreatitis
  17. 17. Parotid tumors and salivary glands Major salivary glands Minor salivary glands
  18. 18. Ciphers 2% 70% 22% 8%
  19. 19. Ciphers 20% 60% 80%
  20. 20. Benign tumors Pleomorphic Adenoma Strong, slow, painless. Pleomorphic adenoma carcinoma
  21. 21. Benign tumors Lymphomatous papillary cystadenoma Warthin Hule
  22. 22. Malignant Tumors Mucoepidermoid Carcinoma Parotid and minor salivary glands
  23. 23. Malignant Tumors Adenoid cystic carcinoma Pain and paresthesia Expansion perineural
  24. 24. Diagnosis Nuclear magnetic resonance CT
  25. 25. Treatment Surgical removal Neck Dissection Radiotherapy
  26. 26. Staging T 1 T 2 T 3 T 4 a T 4 b

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