EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American...

50

TAGS:

Transcript of EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American...

Page 1: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 2: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 3: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.

EVALUATION AND EVALUATION AND TREATMENT OF THE PATINT TREATMENT OF THE PATINT

WITH A NECK MASSWITH A NECK MASS

A slide lecture series of the A slide lecture series of the American academy of the American academy of the otolaryngology – head and otolaryngology – head and

neck surgery .neck surgery .

Page 4: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 5: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 6: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 7: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 8: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 9: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 10: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 11: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 12: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 13: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 14: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 15: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 16: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.

ETIOLOGIES - INFLAMMTORYETIOLOGIES - INFLAMMTORY

• Pyogenic lymphadenitis & R.L.HPyogenic lymphadenitis & R.L.H

• Scrofula .Scrofula .

• Cat scratchCat scratch ..

• Toxoplasmosis .Toxoplasmosis .

• Sialadenitis .Sialadenitis .

• Thyroiditis .Thyroiditis .

• I.M.NI.M.N

• AIDSAIDS

Page 17: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 18: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 19: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 20: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 21: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 22: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 23: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 24: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 25: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.

ETIOLOGIES- NEOPLASTIC ETIOLOGIES- NEOPLASTIC PRIMARY TUMORSPRIMARY TUMORS

• Lymphoma .Lymphoma .

• Thyroid .Thyroid .

• Salivary Gland .Salivary Gland .

• Vascular .Vascular .

• Neurogenic .Neurogenic .

Page 26: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 27: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 28: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 29: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 30: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 31: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 32: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.

ETIOLOGIES – NEOPLASTICETIOLOGIES – NEOPLASTICMETASTATIC TUMORSMETASTATIC TUMORS

• SUPRACLAVICULAR . SUPRACLAVICULAR .

• INFRACLAVICULAR .INFRACLAVICULAR .

• ANKNOWN ORIGIN.ANKNOWN ORIGIN.

Page 33: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 34: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.

HISTORY HISTORY • Age .Age .• Gender .Gender .• Ethnic Background .Ethnic Background .• Smoking History .Smoking History .• Onset and Course .Onset and Course .• Trauma . Trauma . • Infectious Exposure .Infectious Exposure .

Page 35: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.

HISTORYHISTORY• Change in Voice .Change in Voice .

• Pain . Pain .

• Dysphagia .Dysphagia .

• Hearing Loss .Hearing Loss .

• Skin Lesions .Skin Lesions .

• Infraclavicular Symptoma .Infraclavicular Symptoma .

• Family History .Family History .

Page 36: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.

PHYSICAL EXAMINATION PHYSICAL EXAMINATION

LYMPH NODE LYMPH NODE CHARACTERISTICSCHARACTERISTICS

• Hard , Fixed .Hard , Fixed .

• Rubbery , Matted .Rubbery , Matted .

• Fluctuant .Fluctuant .

• Tender .Tender .

Page 37: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.

PHYSICAL EXAMINATION PHYSICAL EXAMINATION COMPLETE HEAD AND NECK COMPLETE HEAD AND NECK

EXAMINATIONEXAMINATION• Ear .Ear .

• Nose .Nose .

• Oral Cavity .Oral Cavity .

• Larynx and Hypopharynx .Larynx and Hypopharynx .

• Nasopharynx .Nasopharynx .

• Neck .Neck .

• Skin and Scalp .Skin and Scalp .

Page 38: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.

PHYSICAL EXAMINATIONPHYSICAL EXAMINATIONGeneral examinationGeneral examination

• Breast .Breast .

• Lymph Nodes .Lymph Nodes .

• Prostate . Prostate .

• Rectum . Rectum .

Page 39: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.

FNAFNAتشخیص گام تشخیص اولین گام اولین

پاراکلینیکپاراکلینیک

است گردنی توده است در گردنی توده .. در

Page 40: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 41: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.

LABORATORY TESTLABORATORY TEST• Complete Blood Count .Complete Blood Count .

• Urinalysis . Urinalysis .

• Liver Function Test .Liver Function Test .

• TB Skin Test .TB Skin Test .

• Syphilis Test . Syphilis Test .

• Mononucleosis Test .Mononucleosis Test .

• Thyroid Function Test . Thyroid Function Test .

Page 42: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.

ROUTINE RADIOGRAPHICROUTINE RADIOGRAPHICSTUDIESSTUDIES

• Chest x – ray .Chest x – ray .

• Computerized Tomographr .Computerized Tomographr .

Page 43: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.

ANCILLARY ANCILLARY IMAGING STUDIESIMAGING STUDIES

• Bone Scan .Bone Scan .

• GL Tract studies .GL Tract studies .

• Thyroid Scan .Thyroid Scan .

• IVPIVP

• Liver / Spleen Scan.Liver / Spleen Scan.

Page 44: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 45: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 46: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.

PANENDOSCOPYPANENDOSCOPY

• Nasopharyngoscopy .Nasopharyngoscopy .

• Laryngoscopy .Laryngoscopy .

• Bronchoscopy .Bronchoscopy .

• Esophagoscopy .Esophagoscopy .

Page 47: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.
Page 48: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.

THERAPEUTIC OPTIONS BASED ON THERAPEUTIC OPTIONS BASED ON FROZEN SECTION ANALYSIS OF FROZEN SECTION ANALYSIS OF

NECK MASS BIOPSYNECK MASS BIOPSY

NECK MASS BIOPSY NECK MASS BIOPSY

UNDIFFERENTIATED ORUNDIFFERENTIATED ORSQUAMOUS CARCINOMASQUAMOUS CARCINOMA

ADENO ADENO CARCINOMACARCINOMA

THYROID THYROID CARCINOMACARCINOMA

BENIGN NON- BENIGN NON- DIAGNOSTIC DIAGNOSTIC LYMPHOMALYMPHOMA

INFRACLAVICULARINFRACLAVICULARPRIMARYPRIMARY

NECK NECK DISSECTIONDISSECTION

LOOK FOR LOOK FOR PRIMARYPRIMARY

LOW NECK NODELOW NECK NODEHIGH NECK NODE HIGH NECK NODE

NECK DISSECTIONNECK DISSECTION

THYROIDECTOMYTHYROIDECTOMY

LOOK FOR PRIMARYLOOK FOR PRIMARYEXCISE SALIVARY EXCISE SALIVARY TUMORTUMOR

NO FURTHER NO FURTHER SURGERYSURGERY

NO FURTHER NO FURTHER SURGERYSURGERY

Page 49: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.

DIAGNOSTIC AND DIAGNOSTIC AND THERAPEUTIC APPROACH TO THERAPEUTIC APPROACH TO

CERVICAL MASSESCERVICAL MASSESHISTORY PHYSICAL ANDHISTORY PHYSICAL ANDFINE NEEDLE ASPIRATEFINE NEEDLE ASPIRATE

LAB AND X-RAYLAB AND X-RAYFINDINGSFINDINGS

PRIMARY PRIMARY UNKNOWNUNKNOWN

PRIMARY PRIMARY KNOWNKNOWN

BIOPSY OFBIOPSY OFLESIONLESION

RANDOMRANDOMBIOPSIESBIOPSIES

POSITIVEPOSITIVE NEGATIVENEGATIVE

BIOPSYBIOPSYLYMPH NODELYMPH NODE

TREATTREAT

Page 50: EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery.

Cummings Otolaryngology Head & Neck · PDF fileCummings Otolaryngology Head & Neck Surgery ... Head and Neck Surgical Oncology Department of Otolaryngology–Head and Neck Surgery

Cummings Otolaryngology Head & Neck · PDF fileCummings Otolaryngology Head & Neck Surgery ... Head and Neck Surgical Oncology Department of Otolaryngology–Head and Neck Surgery

OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK …

OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK …

Cummings Otolaryngology - Head and Neck Surgery : Head and Neck Surgery, 3-Volume Set

Cummings Otolaryngology - Head and Neck Surgery : Head and Neck Surgery, 3-Volume Set

DEPARTMENT OF OTOLARYNGOLOGY – HEAD AND NECK ...

DEPARTMENT OF OTOLARYNGOLOGY – HEAD AND NECK ...

Department of Otolaryngology Head & Neck Surgery … · ment of Otolaryngology – Head and Neck Surgery, ... The 21st annual McGill Head and Neck ancer Fund event was held on May

Department of Otolaryngology Head & Neck Surgery … · ment of Otolaryngology – Head and Neck Surgery, ... The 21st annual McGill Head and Neck ancer Fund event was held on May

American Academy of Otolaryngology—Head and Neck Surgery ...

American Academy of Otolaryngology—Head and Neck Surgery ...

OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE ... _ Gouge... · OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERY ... intimate knowledge of temporal

OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE ... _ Gouge... · OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERY ... intimate knowledge of temporal

OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK … · OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & ... Knowledge of the surgical anatomy and ... OTOLARYNGOLOGY, HEAD & NECK OPERATIVE

OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK … · OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & ... Knowledge of the surgical anatomy and ... OTOLARYNGOLOGY, HEAD & NECK OPERATIVE

2018 Issue 2 - Advances In Otolaryngology - Head and Neck ......ADVANCES IN OTOLARYNGOLOGY - HEAD AND NECK SURGERY 21 ssue 2 SAVE THE DATE 12th Annual Otolaryngology Update in New

2018 Issue 2 - Advances In Otolaryngology - Head and Neck ......ADVANCES IN OTOLARYNGOLOGY - HEAD AND NECK SURGERY 21 ssue 2 SAVE THE DATE 12th Annual Otolaryngology Update in New

Otolaryngology/ENT - Welcome to URMC...Pediatric Otolaryngology General Otolaryngology Clinton Woods Matthew C. Miller, M.D. Head and Neck Oncology Thyroid / Parathyroid Head and Neck

Otolaryngology/ENT - Welcome to URMC...Pediatric Otolaryngology General Otolaryngology Clinton Woods Matthew C. Miller, M.D. Head and Neck Oncology Thyroid / Parathyroid Head and Neck

PatInt Solutions Services.

PatInt Solutions Services.

Department of Otolaryngology - Head and Neck …hospitals.jefferson.edu/content/dam/health/PDFs/patients/...Department of Otolaryngology - Head and Neck Surgery You Have Scheduled

Department of Otolaryngology - Head and Neck …hospitals.jefferson.edu/content/dam/health/PDFs/patients/...Department of Otolaryngology - Head and Neck Surgery You Have Scheduled

th National Otolaryngology & Head-Neck Surgery Conference ... · PROGRAMME SUMMARY 17th National Otolaryngology & Head-Neck Surgery Conference DAY – 1: 30th Nov, 2019 (Saturday)

th National Otolaryngology & Head-Neck Surgery Conference ... · PROGRAMME SUMMARY 17th National Otolaryngology & Head-Neck Surgery Conference DAY – 1: 30th Nov, 2019 (Saturday)

OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK … · OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERY ... dimensional anatomy of the neck. ... OTOLARYNGOLOGY,

OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK … · OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERY ... dimensional anatomy of the neck. ... OTOLARYNGOLOGY,

DEPARTMENT OF OTOLARYNGOLOGY - HEAD & NECK SURGERY …

DEPARTMENT OF OTOLARYNGOLOGY - HEAD & NECK SURGERY …

The Otolaryngology - Head and Neck Surgery Milestone Project

The Otolaryngology - Head and Neck Surgery Milestone Project

OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE ... · OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERY MANAGEMENT PRINCIPLES/GUIDELINES FOR HEAD AND

OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE ... · OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERY MANAGEMENT PRINCIPLES/GUIDELINES FOR HEAD AND

Atlantic Otolaryngology: Head and Neck Surgery Update

Atlantic Otolaryngology: Head and Neck Surgery Update

Otolaryngology Head and Neck Surgery Toronto Notes 2010

Otolaryngology Head and Neck Surgery Toronto Notes 2010

OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK

OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK