1. Universidad de Guadalajara
Centro Universitario Ciencias de la Salud
Head and Neck
Pathology
Giovanna Lazcano Sherman
Dr. Héctor Manuel Virgen Ayala
September 2011 Dr. Benjamín Robles Mariscal

2. Peritonsillar
Abscess

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

4. Secondary…
Acute tonsillitis
Duct Obstruction Weber

5. Reason for consultation

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

7. Diagnosis
Aspiretion Needle
Insicion
Drein the
abscess

8. Thyroglossal duct
cyst

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

10. In the route
of blind hole,
can remain
thyroid
tissue. S. Langman. “Embriología Médica con
orientación clínica”, 10ª edition. 2007,
Page. 281.

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

12. Differencial Diagnosis
N. Wood; P.W Woaz.
“Diagnóstico diferencial de las
lesiones orales y
maxilofaciales”, 5ª edition.
1998, Page. 535

13. Complications
Infections
Malignancy
papillary thyroid
carcinoma

14. Diagnosis
Aspiration Needle
Insicion
Scintigraphy

15. 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)

16. 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

17. Thyroid
Neoplasms

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

19. Thyroid nodules
We have several methods for
evaluating thyroid nodules
and classify.
The interrogation and physical
examination are so important

20. Examinations would be useful,
thyroid hormones,
ultrasounds, biopsies,
imaging with radio-iodine, x-
rays, CT, MR.

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

22. Recurrent goiter
R.F. Lick. “Atlas de patología quirúrgica”, 1ª edition. 1981, Page. 49.

23. Papillary
adenocarcinoma
85%
R.F. Lick. “Atlas de patología quirúrgica”, 1ª
edition. 1981, Page. 53.

24. Follicular
adenocarcinoma
10%
R.F. Lick. “Atlas de patología
quirúrgica”, 1ª edition. 1981,
Page. 47.

25. Follicular
adenocarcinoma
R.F. Lick. “Atlas de patología
quirúrgica”, 1ª edition.
1981, Page. 51.

26. Medullary carcinoma
7%
Carcinoma that
causes 15% of
deaths from
thyroid cancer Barbara F. Atkinson. “Atlas de Diagnostico
Citopatologico”, 2ª edition. 2005, Page.
494.

27. Medullary carcinoma
Doesn’t absorb
radioactive iodine
and produces
calcitonin

28. Undifferentiated
carcinoma
1%
R.F. Lick. “Atlas de patología quirúrgica”, 1ª
edition. 1981, Page. 53.

29. Parathyroid

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

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

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

33. Primary
hyperparathyroidism

34. Arises from 0.1 to 0.3%
of the population
most common cause of
hypercalcemia

35. Causes
Parathyroid adenoma 83%
Multiple adenoma 6%
Hyperplasia 10%
Carcinoma 1%

36. Parathyroid adenoma
R.F. Lick. “Atlas de patología quirúrgica”, 1ª edition. 1981,
Page. 51.

37. 90% of all cases responsible
for hypercalcemia are
hyperparathyroidism and
cancer

38. Diagnosis
Clinical findings
and
Laboratory tests

39. Laboratory tests
calcium phosphate
parathyroid hormone

40. Bone scans
Bone
densitometry
X. Rays
Recovered
http://intercambiosos.org/showthrea
d.php?t=4558

41. Differencial Diagnosis
Cancer
Hyperthyroid
Thiazide diuretics
Milk-alkali syndrome
Familial hypocalciuric
hypercalcemia

42. Secondary
Terciary
Hyperparathyroidism

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

44. 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.