head and neck pathology
TRANSCRIPT
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Universidad de Guadalajara
September 2011
Head and Neck Pathology
Centro Universitario Ciencias de la Salud
Giovanna Lazcano Sherman
Dr. Héctor Manuel Virgen Ayala
Dr. Benjamín Robles Mariscal
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Peritonsillar Abscess
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Peritonsillar Abscess
F. H. Netter. “Atlas de anatomía humana”, Second edition. 2001, Page. 69.
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Acute tonsillitis
Duct Obstruction Weber
Secondary…
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Reason for consultation
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Physical Examination
W. J. Spicer. “Microbiología Medica y Enfermedades Infecciosas”, Second edition. 2009, Page. 118.
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Diagnosis
Aspiretion Needle Insicion
Drein the abscess
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Thyroglossal duct cyst
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Thyroid Embryology
S. Langman. “Embriología Médica con orientación clínica”, 10ª edition. 2007, Page. 281.
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In the route of blind hole, can remain
thyroid tissue. S. Langman. “Embriología Médica con
orientación clínica”, 10ª edition. 2007, Page. 281.
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F. H. Netter. “Sistema endocríno y enferedades metabólicas”, 1ª edition. 2006, Page. 45.
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Differencial Diagnosis
N. Wood; P.W Woaz. “Diagnóstico diferencial de las
lesiones orales y maxilofaciales”, 5ª edition.
1998, Page. 535
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Complications
Malignancypapillary thyroid
carcinoma
Infections
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Diagnosis
Aspiration Needle Insicion
Scintigraphy
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Scintigraphy
PLoS Medicine: Perros P (2005) Thyrotoxicosis and Pregnancy. PLoS Med 2(12): e370 doi:10.1371/journal.pmed.0020370 ( http://medicine.plosjournals.org/perlserv/?request=get-
document&doi=10.1371/journal.pmed.0020370)
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Treatment
Sistrunk procedure L. Torrico. J. Rivero. K. Vasquez “Caso Clínico de Quiste Tirogloso”, recovered
http://www.univalle.edu/publicaciones/revista_salud/revista06/pagina10.htm
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Thyroid Neoplasms
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Histology
A. Stevens; J.Lowe. “Histología Humana”, 3ª edition. 2006, Page. 279.
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Thyroid nodules
We have several methods for evaluating thyroid nodules
and classify.
The interrogation and physical examination are so important
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Examinations would be useful, thyroid hormones,
ultrasounds, biopsies, imaging with radio-iodine, x-
rays, CT, MR.
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Thyroid nodules
R.F. Lick. “Atlas de patología quirúrgica”, 1ª edition. 1981, Page. 47.
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Recurrent goiter
R.F. Lick. “Atlas de patología quirúrgica”, 1ª edition. 1981, Page. 49.
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Papillary adenocarcinoma
R.F. Lick. “Atlas de patología quirúrgica”, 1ª edition. 1981, Page. 53.
85%
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Follicular adenocarcinoma
R.F. Lick. “Atlas de patología quirúrgica”, 1ª edition. 1981,
Page. 47.
10%
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Follicular adenocarcinoma
R.F. Lick. “Atlas de patología quirúrgica”, 1ª edition.
1981, Page. 51.
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Medullary carcinoma
Carcinoma that
causes 15% of deaths from
thyroid cancer Barbara F. Atkinson. “Atlas de Diagnostico Citopatologico”, 2ª edition. 2005, Page.
494.
7%
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Medullary carcinoma
Doesn’t absorb radioactive iodine
and produces calcitonin
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Undifferentiated carcinoma
R.F. Lick. “Atlas de patología quirúrgica”, 1ª edition. 1981, Page. 53.
1%
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Parathyroid
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Histology
A. Stevens; J.Lowe. “Histología Humana”, 3ª edition. 2006, Page. 279.
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Anatomy
K. L. Moore; A. F. Delley. “Anatomía con orientación clínica”, 5ª edition. 2006, Page. 279.
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Physiology
Goldman; Ausiello. “Cecil, tratado de medicina interna”, 23ª edition. 2006, Page. 1113.
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Primary hyperparathyroidism
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Arises from 0.1 to 0.3% of the population
most common cause of
hypercalcemia
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Causes Parathyroid adenoma
Multiple adenoma
Hyperplasia
Carcinoma
83%
6%
10%
1%
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Parathyroid adenoma
R.F. Lick. “Atlas de patología quirúrgica”, 1ª edition. 1981, Page. 51.
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90% of all cases responsible
for hypercalcemia are hyperparathyroidism and
cancer
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Diagnosis
Clinical findings and Laboratory tests
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Laboratory tests
parathyroid hormone
calcium phosphate
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Bone scans
Recovered http://intercambiosos.org/showthrea
d.php?t=4558
Bone densitometry
X. Rays
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Milk-alkali syndrome
CancerHyperthyroid
Familial hypocalciuric hypercalcemia
Thiazide diuretics
Differencial Diagnosis
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Hyperparathyroidism
SecondaryTerciary
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Para
thyr
oide
ctom
y Treatment
Recovered http://www.elsevier.es/es/redirect/deprecated?_f=7214&articuloid=13109149
Hypoparathyroidism
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Bibliography
G. M. Doherty. “Diagnóstico y tratamiento Quirúrgicos”, 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.