Head and neck pathology

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Head and neck pathology

  1. 1. 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
  2. 2. Peritonsillar Abscess
  3. 3. Peritonsillar AbscessF. H. Netter. “Atlas de anatomía humana”, Second edition. 2001, Page. 69.
  4. 4. Secondary… Acute tonsillitis Duct Obstruction Weber
  5. 5. Reason for consultation
  6. 6. Physical Examination W. J. Spicer. “Microbiología Medica y Enfermedades Infecciosas”, Second edition. 2009, Page. 118.
  7. 7. DiagnosisAspiretion Needle Insicion Drein the abscess
  8. 8. Thyroglossal duct cyst
  9. 9. Thyroid EmbryologyS. Langman. “Embriología Médica con orientación clínica”, 10ª edition. 2007, Page. 281.
  10. 10. In the routeof blind hole, can remain thyroid tissue. S. Langman. “Embriología Médica con orientación clínica”, 10ª edition. 2007, Page. 281.
  11. 11. F. H. Netter. “Sistema endocríno y enferedades metabólicas”, 1ª edition. 2006, Page. 45.
  12. 12. Differencial Diagnosis N. Wood; P.W Woaz.“Diagnóstico diferencial de las lesiones orales y maxilofaciales”, 5ª edition. 1998, Page. 535
  13. 13. ComplicationsInfections Malignancy papillary thyroid carcinoma
  14. 14. DiagnosisAspiration Needle InsicionScintigraphy
  15. 15. 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)
  16. 16. Treatment Sistrunk procedureL. Torrico. J. Rivero. K. Vasquez “Caso Clínico de Quiste Tirogloso”, recovered http://www.univalle.edu/publicaciones/revista_salud/revista06/pagina10.htm
  17. 17. ThyroidNeoplasms
  18. 18. HistologyA. Stevens; J.Lowe. “Histología Humana”, 3ª edition. 2006, Page. 279.
  19. 19. Thyroid nodulesWe have several methods for evaluating thyroid nodules and classify. The interrogation and physical examination are so important
  20. 20. Examinations would be useful, thyroid hormones, ultrasounds, biopsies,imaging with radio-iodine, x- rays, CT, MR.
  21. 21. Thyroid nodules R.F. Lick. “Atlas de patología quirúrgica”, 1ª edition. 1981, Page. 47.
  22. 22. Recurrent goiterR.F. Lick. “Atlas de patología quirúrgica”, 1ª edition. 1981, Page. 49.
  23. 23. Papillary adenocarcinoma 85%R.F. Lick. “Atlas de patología quirúrgica”, 1ªedition. 1981, Page. 53.
  24. 24. Follicular adenocarcinoma 10% R.F. Lick. “Atlas de patologíaquirúrgica”, 1ª edition. 1981, Page. 47.
  25. 25. Follicularadenocarcinoma R.F. Lick. “Atlas de patología quirúrgica”, 1ª edition. 1981, Page. 51.
  26. 26. Medullary carcinoma 7%Carcinoma thatcauses 15% of deaths from thyroid cancer Barbara F. Atkinson. “Atlas de Diagnostico Citopatologico”, 2ª edition. 2005, Page. 494.
  27. 27. Medullary carcinoma Doesn’t absorb radioactive iodine and produces calcitonin
  28. 28. Undifferentiated carcinoma1% R.F. Lick. “Atlas de patología quirúrgica”, 1ª edition. 1981, Page. 53.
  29. 29. Parathyroid
  30. 30. HistologyA. Stevens; J.Lowe. “Histología Humana”, 3ª edition. 2006, Page. 279.
  31. 31. AnatomyK. L. Moore; A. F. Delley. “Anatomía con orientación clínica”, 5ª edition. 2006, Page. 279.
  32. 32. Physiology Goldman; Ausiello. “Cecil, tratado de medicina interna”, 23ª edition. 2006, Page. 1113.
  33. 33. Primaryhyperparathyroidism
  34. 34. Arises from 0.1 to 0.3% of the population most common cause of hypercalcemia
  35. 35. CausesParathyroid adenoma 83%Multiple adenoma 6%Hyperplasia 10%Carcinoma 1%
  36. 36. Parathyroid adenoma R.F. Lick. “Atlas de patología quirúrgica”, 1ª edition. 1981, Page. 51.
  37. 37. 90% of all cases responsible for hypercalcemia are hyperparathyroidism and cancer
  38. 38. DiagnosisClinical findings andLaboratory tests
  39. 39. Laboratory testscalcium phosphate parathyroid hormone
  40. 40. Bone scans Bone densitometry X. Rays Recoveredhttp://intercambiosos.org/showthrea d.php?t=4558
  41. 41. Differencial Diagnosis Cancer Hyperthyroid Thiazide diuretics Milk-alkali syndromeFamilial hypocalciurichypercalcemia
  42. 42. Secondary TerciaryHyperparathyroidism
  43. 43. Parathyroidectomy Treatment HypoparathyroidismRecovered http://www.elsevier.es/es/redirect/deprecated?_f=7214&articuloid=13109149
  44. 44. 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.

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