Head and neck pathology

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Transcript of Head and neck pathology

Universidad de Guadalajara

Robles Mariscal BenjamínHéctor Manuel Virgen Ayala

Clínicas QuirúrgicasArias Siordia Abraham

Septiembre, 2011

Centro Universitario de Ciencias de la Salud

Head and Neck Pathology

Head and Neck Pathology

Soft Tissue Tumors

Ciphers

1%

59%19%15%9%

facial and cervical tissue

100 Benign50 Malignant

2/100,000/year

Causes and risk factors

Genetic predisposition

Radiation Exposure

Lymphedema

Injuries

Chemical

Cancer staging

Tumor GradeSize

Metastasis

Stage 1Stage 2Stage 3Stage 4

Lipoma - Liposarcoma

Fibroma - Fibrosarcoma

Neurofibroma - Neurosarcoma

Lymphangioma – lymphangiosarcoma

Hemangioma – Hemangiosarcoma

Leiomyoma – Leiomyosarcoma

Rhabdomyoma - Rhabdomyosarcoma

Lymphangioma

Hemangioma

Clinical Evaluation and Diagnosis

Neurological symptomsVascular

PAAFExcisional biopsy

NMRCT

Treatment

Functionality

SurgerySurgical removalChemotherapy

Head and Neck Pathology

Mumps and parotid tumors and salivary glands

Mumps

Mixovirus parotiditis. Staphylococcal infection

Primary Secondary

Signs and symptoms

Inflammation

Headache

Fever 38°C

Local pain

Orchitis

Diagnosis

Inflammation

IgM Specifies

Virus Insulation

PCR

Treatment

Insulation – Paracetamol

MeningitisOrchitis

Pancreatitis

Parotid tumors and salivary glands

Major salivary glands

Minor salivary glands

Ciphers

2%70%22%8%

Ciphers

20%

60%

80%

Benign tumors

Pleomorphic Adenoma Strong, slow, painless.

Pleomorphic adenoma carcinoma

Benign tumors

Lymphomatous papillary cystadenoma

Warthin

Hule

Malignant Tumors

Mucoepidermoid Carcinoma

Parotid and minor salivary glands

Malignant Tumors

Adenoid cystic carcinoma

Pain and paresthesiaExpansion perineural

Diagnosis

Nuclear magnetic resonance

CT

Treatment

Surgical removalNeck Dissection

Radiotherapy

Staging

T1T2T3T4aT4b