Head and neck pathology

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

Peritonsillar Abscess

Peritonsillar Abscess

F. H. Netter. “Atlas de anatomía humana”, Second edition. 2001, Page. 69.

Acute tonsillitis

Duct Obstruction Weber

Secondary…

Reason for consultation

Physical Examination

W. J. Spicer. “Microbiología Medica y Enfermedades Infecciosas”, Second edition. 2009, Page. 118.

Diagnosis

Aspiretion Needle Insicion

Drein the abscess

Thyroglossal duct cyst

Thyroid Embryology

S. Langman. “Embriología Médica con orientación clínica”, 10ª edition. 2007, Page. 281.

In the route of blind hole, can remain

thyroid tissue. S. Langman. “Embriología Médica con

orientación clínica”, 10ª edition. 2007, Page. 281.

F. H. Netter. “Sistema endocríno y enferedades metabólicas”, 1ª edition. 2006, Page. 45.

Differencial Diagnosis

N. Wood; P.W Woaz. “Diagnóstico diferencial de las

lesiones orales y maxilofaciales”, 5ª edition.

1998, Page. 535

Complications

Malignancypapillary thyroid

carcinoma

Infections

Diagnosis

Aspiration Needle Insicion

Scintigraphy

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)

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

Thyroid Neoplasms

Histology

A. Stevens; J.Lowe. “Histología Humana”, 3ª edition. 2006, Page. 279.

Thyroid nodules

We have several methods for evaluating thyroid nodules

and classify.

The interrogation and physical examination are so important

Examinations would be useful, thyroid hormones,

ultrasounds, biopsies, imaging with radio-iodine, x-

rays, CT, MR.

Thyroid nodules

R.F. Lick. “Atlas de patología quirúrgica”, 1ª edition. 1981, Page. 47.

Recurrent goiter


Papillary adenocarcinoma


85%

Follicular adenocarcinoma

R.F. Lick. “Atlas de patología quirúrgica”, 1ª edition. 1981,

Page. 47.

10%

Follicular adenocarcinoma

R.F. Lick. “Atlas de patología quirúrgica”, 1ª edition.

1981, Page. 51.

Medullary carcinoma

Carcinoma that

causes 15% of deaths from

thyroid cancer Barbara F. Atkinson. “Atlas de Diagnostico Citopatologico”, 2ª edition. 2005, Page.

494.

7%

Medullary carcinoma

Doesn’t absorb radioactive iodine

and produces calcitonin

Undifferentiated carcinoma


1%

Parathyroid

Histology

A. Stevens; J.Lowe. “Histología Humana”, 3ª edition. 2006, Page. 279.

Anatomy

K. L. Moore; A. F. Delley. “Anatomía con orientación clínica”, 5ª edition. 2006, Page. 279.

Physiology

Goldman; Ausiello. “Cecil, tratado de medicina interna”, 23ª edition. 2006, Page. 1113.

Primary hyperparathyroidism

Arises from 0.1 to 0.3% of the population

most common cause of

hypercalcemia

Causes Parathyroid adenoma

Multiple adenoma

Hyperplasia

Carcinoma

83%

6%

10%

1%

Parathyroid adenoma


90% of all cases responsible

for hypercalcemia are hyperparathyroidism and

cancer

Diagnosis

Clinical findings and Laboratory tests

Laboratory tests

parathyroid hormone

calcium phosphate

Bone scans

Recovered http://intercambiosos.org/showthrea

d.php?t=4558

Bone densitometry

X. Rays

Milk-alkali syndrome

CancerHyperthyroid

Familial hypocalciuric hypercalcemia

Thiazide diuretics

Differencial Diagnosis

Hyperparathyroidism

SecondaryTerciary

Para

thyr

oide

ctom

y Treatment

Recovered http://www.elsevier.es/es/redirect/deprecated?_f=7214&articuloid=13109149

Hypoparathyroidism

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.

Head and neck pathology

Health & Medicine

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