Tumores De Mediastino fmh_unprg tucienciamedic

Enero 2008 TUMORES DEL MEDIASTINO Integrantes: Hernández Cabanillas, Alex Hernández Santillán, Gina Irureta Vásquez, Roger Docente: Dr. Víctor Arauco Ibarra . Universidad Nacional Pedro Ruiz Gallo Facultad de Medicina Humana CIENCIAS CLÍNICAS 2008 – II CIRUGÍA DE TÓRAX Y CARDIOVASCULAR ,[object Object]

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GENERALIDADES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MEDIASTINO ,[object Object],[object Object],[object Object],[object Object],[object Object]

CLASIFICACIÓN DE SABISTON (1980) ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object]

CONTENIDO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],CONSIDERACIONES DIAGNOSTICAS ,[object Object],[object Object]

DIAGNÓSTICO: OBJETIVOS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Evaluación diagnóstica ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object]

TUMORES DEL MEDIASTINO ANTEROSUPERIOR

[object Object],59% Anterior ,[object Object],[object Object]

Distribución y Frecuencia Adultos Niños Timo 31 % 28 % Neurogénico 15 % 47 % Linfomas 26 % 9 % Germinales 15 % 9 % Vascular 1 % 6 % Varios 13 % 2 % Adultos Niños Anterior 54-59 % 43% Medio 20-29 % 18% Posterior 16-26% 40-46%

TIMOMA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Estadio y Sobrevida ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Estadio SV a 5 años I 93% II 86% III 70% IV 50%

Tratamiento ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Timomas en estadio II, se Trata con Resección Qx. Completa seguida de RT En Fases avanzadas responden bien a QT con platino y corticoesteroide

CARCINOMA TÍMICO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tomografía de tórax en paciente con carcinoma tímico Fotografía de la pieza quirúrgica de un carcinoma tímico

LINFOMA ,[object Object],[object Object],[object Object],[object Object]

TUMORES DE CÉLULAS GERMINALES ,[object Object],[object Object],[object Object],[object Object]

TERATOMA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tomografía de tórax en un paciente con teratoma originado en mediastino anterior .

SEMINOMA ,[object Object],[object Object],[object Object],[object Object]

NO SEMINOMAS ,[object Object],[object Object],[object Object],[object Object],[object Object]

GLÁNDULAS ENDOCRINAS ECTÓPICAS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object]

QUISTE BRONCOGENICO ,[object Object],[object Object],[object Object],[object Object]

[object Object],TIPO I II III Frec 50% 40% 10% Caract Únicos o múltiples Multiples Agenesia o disgenesia renal Únicos Tamaño 2 a 10 cm 2cm 0.5-3cm HISTOLOGIA Columnar o pseudoestratificado; células mucogénicas Cuboidal o columnar Ausencia de células mucogénicas

LINFAGIOMAS ,[object Object],[object Object],[object Object],[object Object]

Tumores Neurogénicos ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object]

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Tumores De Mediastino fmh_unprg tucienciamedic

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