Parotid Disease Case Discussions. Valerie Jefford November 28, 2002
|
|
- Beverley Warren
- 5 years ago
- Views:
Transcription
1 Parotid Disease Case Discussions Valerie Jefford November 28, 2002
2 Case 1 44 y.o. man referred with lump anterior to R ear. Q1 What do you want to know? no pain 2 years but bigger now Smoker Q2 What to look for on physical exam?
3
4 Case 1 cont d Mobile, 2cm, not fixed, no nodes, facial nerve ok, right under the skin Q3 What next? Excision vs FNA Branches of facial nerve Q4 What is the most likely pathology? Pleomorphic Adenoma 80% parotid tumors benign, 60% P.A. 60% in women, 44 y.o. average age
5
6
7 Case 1 cont d Q5 What now? watchful waiting vs excision risk of malignant transformation risk of facial nerve damage comorbidities
8 Case 1 cont d Q6 What s the approach? incision Modified Blair enucleation vs superficial parotidectomy -pseudopods -recurrence rates 10-50% localization of facial nerve -tragal pointer (0.5 cm deep) -tympanomastoid suture (6-8mm ant/inf.) -mastoid tip (1.5cm above and 1.0cm deep) -peripheral branch -mastoidectomy
9
10 Case 1 cont d Q7 Are you going to see him again? recurrences reported yrs later Pt. returns with flushing and sweating on side of face with eating. Q8 What s the diagnosis? Gustatory sweating (Frey s syndrome) Botox injection
11
12
13 Case 2 78 y.o. man with bilat. parotid masses. There a long time, not changing. On exam, mobile, soft, nontender. Q1 likely diagnosis? Warthin s 10% bilat. 10:1 male-to-female Q2 what malignant tumor can be bilat? Acinic cell carcinoma Lymphoma Q3 what do you want to do? FNA +/- superficial parotidectomy
14
15 Benign Parotid Neoplasms Pleomorphic Adenoma 65% Warthin s tumor 6-10% Oncocytoma <1% Monomorphic Adenoma
16 Case 3 50 y.o. woman with R parotid mass, there about 8 months, getting bigger, no pain. On exam it s hard, 3cm, fixed, facial nerve appears intact. Q1 What next? FNA mucoepidermoid carcinoma Q2 Treatment? Superficial parotidectomy, intra-op frozen section, total parotidectomy and LN dissection if high grade. Q3 When would you take the facial nerve? Involved or cannot get adequate margins Q4 Adjuvant treatment? Post-op radiation if high grade
17 Case 4 60 y.o. woman presents with 2cm mass L parotid, painful, no LNs palp. FNA reveals adenoid cystic carcinoma. Q1 Treatment? Total parotidectomy Intra-op dissect nerve and find pes uninvolved, but tumor involves cervical branch and marginal mandibular branch. Q2 What now? Excise branches (?nerve graft with greater auricular nerve). Grossly tumor is out.?frozen sections of perineural tissue and excise back to main trunk if needed to get clear margins. Q3 Adjuvant treatment?
18 Indications for Facial Nerve Resection Immediately involved with tumor Advanced to T3 stage ( >4 cm, multiple neck nodes, deep fixation, skin ulceration, dysfunction of facial nerve) Seventh nerve paralysis or recurrent malignancy
19 Malignant Parotid Neoplasms Mucoepidermoid Carcinoma 6-9% - low and high grade Malignant Mixed 2-5% - malignant degeneration of Pleomorphic Adenoma Adenoid Cystic Carcinoma 6% - perineural invasion Acinic Cell Carcinoma 1% - bilat. 3% of time Adenocarcinoma
20 Indications for Cervical Lymphadenectomy Palpable LNs Facial nerve paralysis, large tumors with deep fixation (T3) Aggressive tumors : epidermoid, malignant mixed, high-grade mucoepidermoid
21 Indications for Post-Op Radiotherapy Perineural involvement Large tumors (T3 or T4) Positive LNs Deep lobe tumors High grade : undiff., malignant mixed, adenoca, adenoid cystic, high-grade mucoepidermoid, epidermoid (i.e. low-grade mucoepidermoid and acinic cell do not)
22 Case 5 50 y.o. woman with unilateral parotid swelling, comes and goes, no pain. Q1 what else do you want to know? Dry eyes, dry mouth Phx : RA Q2 likely dx? Sjogren s syndrome (1 o vs 2 o ) Chronic d/o with immune-mediated destruction of exocrine glands 1% of population, 9:1 F:M, y.o.
23 Q3 how to dx her? Case 5 Bx best, SS-A/Ro and SS-B/La autoantibodies, sialography Q4 what cancer is she at risk for? Lymphoma 5% (33-44 x gen. pop.) Q5 treatment? Supportive Steroids for severe debilitating dz
24
25 Case 6 79 y.o. man in hospital for gastroenteritis with diarrhea, not eating, dehydrated. Develops pain and swelling anterior to R ear. Tender and hot to touch. Incr. temp., incr. WBC. Q1 likely diagnosis? Sialadenitis Staph. Aureus (S.pneumoniae, E.coli, H.flu)
26 Case 6 Q2 treatment? Fluids, IV abx, oral hygiene, massage No improvement, seems worse. Q3 investigations? U/S, CT, sialography
27
28
DISORDERS OF THE SALIVARY GLANDS Neoplasms Dr.M.Baskaran Selvapathy S IV
DISORDERS OF THE SALIVARY GLANDS Neoplasms Dr.M.Baskaran Selvapathy S IV NEOPLASMS A) Epithelial I. Benign Pleomorphic adenoma( Mixed tumour) Adenolymphoma (Warthin s tumour) Oxyphil adenoma (Oncocytoma)
More informationThe International Federation of Head and Neck Oncologic Societies. Current Concepts in Head and Neck Surgery and Oncology
The International Federation of Head and Neck Oncologic Societies Current Concepts in Head and Neck Surgery and Oncology www.ifhnos.net The International Federation of Head and Neck Oncologic Societies
More informationLya Crichlow, MD Lutheran Medical Center November 21, 2008
Lya Crichlow, MD Lutheran Medical Center November 21, 2008 Case Presentation 64 year old male presented with a painless mass posterior to the right angle of the mandible for 3 months PMHx HTN COPD BPH
More informationManagement of Salivary Gland Malignancies. No Disclosures or Conflicts of Interest. Anatomy 10/4/2013
Management of Salivary Gland Malignancies Daniel G. Deschler, MD Director: Division of Head and Neck Surgery Massachusetts Eye & Ear Infirmary Massachusetts General Hospital Professor Harvard Medical School
More informationSALIVARY GLAND DISEASES. Omar alnoubani MD,MRCS
SALIVARY GLAND DISEASES Omar alnoubani MD,MRCS Salivary Glands Overview Parotid gland Sublingual gland Submandibular gland Salivary glands - Types 3 Major Salivary Glands Parotid Submandibular Sublingual
More informationThe International Federation of Head and Neck Oncologic Societies. Current Concepts in Head and Neck Surgery and Oncology
The International Federation of Head and Neck Oncologic Societies Current Concepts in Head and Neck Surgery and Oncology www.ifhnos.net The International Federation of Head and Neck Oncologic Societies
More informationSalivary Gland Imaging. Mary Scanlon MD FACR October 2016
Salivary Gland Imaging Mary Scanlon MD FACR October 2016 Objectives Recognize normal and abnormal anatomy Discuss work up, management and differential diagnosis of commonly referred clinical scenarios
More informationSalivary ultrasound. Dr T J Beale Royal National Throat Nose & Ear and UCLH Hospitals London UK
Salivary ultrasound Dr T J Beale Royal National Throat Nose & Ear and UCLH Hospitals London UK Two main groups of patients with presenting symptoms of: Obstructive or chronic inflammatory symptoms (salivary
More informationMy Journey into the World of Salivary Gland Sebaceous Neoplasms
My Journey into the World of Salivary Gland Sebaceous Neoplasms Douglas R. Gnepp Warren Alpert Medical School at Brown University Rhode Island Hospital Pathology Department Providence RI Asked to present
More informationLos Angeles Society Of Pathologists Dr. Shobha Castelino Prabhu
Los Angeles Society Of Pathologists Dr. Shobha Castelino Prabhu Loma Linda University Medical Center June 12, 2007 CASE 1 76 year-old gentleman Status post right parotidectomy 1 year ago for a rare tumor
More informationMædica - a Journal of Clinical Medicine
MAEDICA a Journal of Clinical Medicine 2014; 9(1): 39-43 Mædica - a Journal of Clinical Medicine ORIGINAL PAPERS Study of Preoperative Predictive Signs in Management of Facial Nerve in Parotid Tumors Magdalena
More informationPRELIMINARY CYTOLOGIC DIAGNOSIS: Suspicious for Acinic Cell Carcinoma. Cell Block: Immunohistochemical Studies CYTOLOGIC DIAGNOSIS:
1 PRELIMINARY CYTOLOGIC DIAGNOSIS: Suspicious for Acinic Cell Carcinoma. Cell Block: Immunohistochemical Studies GCDFP-15 S-100 CYTOLOGIC DIAGNOSIS: Consistent with mammary analogue secretory carcinoma.
More informationParotid Swellings: Report of 110 Consecutive Cases
Parotid Swellings: Report of 110 Consecutive Cases A R Arshad, FRCS, Department of Plastic Surgery, Hospital Kuala Lumpur, Jalan Pahang, 50586 Kuala Lumpur Parotid swellings are uncommon. They usually
More informationImaging Technique. Ultrasound Imaging of the Salivary Glands. Parotid Gland. The Major Salivary Glands. Parotid Gland: Stenson s Duct.
Ultrasound Imaging of the Salivary Glands Edward G. Grant MD Professor & Chairman, Dept of Radiology USC Keck School of Medicine edgrant@usc.edu edgrant@usc.edu Imaging Technique Linear array transducer
More informationSmall access postaural parotidectomy: an analysis of techniques, feasibility and safety
Eur Arch Otorhinolaryngol (2016) 273:1879 1883 DOI 10.1007/s00405-015-3691-9 HEAD AND NECK Small access postaural parotidectomy: an analysis of techniques, feasibility and safety Anthony Po-Wing Yuen 1
More informationAMSER Rad Path Case of the Month:
AMSER Rad Path Case of the Month: 62 year old male presents with right-sided facial mass Daniel Morgan, OMS III Lake Erie College of Osteopathic Medicine Dr. Matthew Hartman, M.D. Medical Student Coordinator;
More informationObjectives. Salivary Gland FNA: The Milan System. Role of Salivary Gland FNA 04/26/2018
Salivary Gland FNA: The Milan System Dr. Jennifer Brainard Section Head Cytopathology Cleveland Clinic Objectives Introduce the Milan System for reporting salivary gland cytopathology Define cytologic
More informationA Clinical Study on Salivary Gland Swellings.
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 16, Issue 7 Ver. VIII (July. 2017), PP 53-57 www.iosrjournals.org A Clinical Study on Salivary Gland
More informationPartial Parotidectomy Versus Superficial or Total Parotidectomy
Middle East Journal of Applied Sciences, 3(4): 259-264, 2013 ISSN: 2077-4613 259 Partial Parotidectomy Versus Superficial or Total Parotidectomy 1 Ibrahim Abde-Albare and 2 Mohamed A. Foda 1 Health Director
More informationSTEP 1 INCISION AND ELEVATION OF SKIN FLAP STEP 3 SEPARATE PAROTID GLAND FROM SCM STEP 2 IDENTIFICATON OF GREAT AURICULAR NERVE
STEP 1 INCISION AND ELEVATION OF SKIN FLAP Create a modified Blair Figure 1 or facelift incision. Figure 2 Raise a superficial cervico-fascial flap between the Superficial Musculo Aponeurotic System (SMAS)
More informationdoi: /j.anl
doi: 10.1016/j.anl.2006.07.001 Synchronous unilateral parotid gland neoplasms of three different histological types Shuho Tanaka 1, Keiji Tabuchi 1, Keiko Oikawa 1, Rika Kohanawa 1, Hideki Okubo 1, Dai
More informationRefresher Course EAR TUMOR. Sasikarn Chamchod, MD Chulabhorn Hospital
Refresher Course EAR TUMOR Sasikarn Chamchod, MD Chulabhorn Hospital Reference: Perez and Brady s Principles and Practice of radiation oncology sixth edition Outlines Anatomy Epidemiology Clinical presentations
More informationSalivary Gland FNA ATYPICAL : Criteria and Controversies
Salivary Gland FNA ATYPICAL : Criteria and Controversies W.C. Faquin, M.D., Ph.D. Director, Head and Neck Pathology Massachusetts General Hospital Massachusetts Eye and Ear Infirmary Harvard Medical School
More informationCase Scenario. 7/13/12 Anterior floor of mouth biopsy: Infiltrating squamous cell carcinoma, not completely excised.
Case Scenario 7/5/12 History A 51 year old white female presents with a sore area on the floor of her mouth. She claims the area has been sore for several months. She is a current smoker and user of alcohol.
More informationPresented by ; Supervised by ; Shahad Samir Khaleel. Dr.Khalaf Rasheed
Parotid mass Presented by ; Shahad Samir Khaleel Supervised by ; Dr.Khalaf Rasheed Case sheet كامل دمحم عبيد Name: Age: 37 years Sex: male Occupation : manual worker Residence : D.O.A. :31\10\2011 موصل
More informationThank You Joe Curry, MD David Cognetti, MD Ryan Heffelfinger, MD
Thank You Joe Curry, MD David Cognetti, MD Ryan Heffelfinger, MD Anatomy Epidemiology Pathology Treatment Controversies Current Research Largest Salivary Gland 80% is superficial lobe Encased in Superficial
More informationEVERYTHING YOU WANTED TO KNOW ABOUT. Robin Billet, MA, CTR, Head & Neck CTAP Member May 9, 2013
EVERYTHING YOU WANTED TO KNOW ABOUT. Robin Billet, MA, CTR, Head & Neck CTAP Member May 9, 2013 Head and Neck Coding and Staging Head and Neck Coding and Staging Anatomy & Primary Site Sequencing and MPH
More informationCase Scenario 1. 7/13/12 Anterior floor of mouth biopsy: Infiltrating squamous cell carcinoma, not completely excised.
Case Scenario 1 7/5/12 History A 51 year old white female presents with a sore area on the floor of her mouth. She claims the area has been sore for several months. She is a current smoker and user of
More informationPolymorphous Low-Grade. December 5 th, 2008
Polymorphous Low-Grade Adenocarcinoma December 5 th, 2008 Epidemiology Represents 2 nd or 3 rd most common minor salivary gland malignancy (17-26%) 1 st mucoepidermoid carcinoma Rare in reported Asian
More informationSalivary Gland Tumours. Presenter: Dr Mpho Sandamela Commentary : Dr Vukasinovic Moderator: Prof Mieny 14 February 2012
Salivary Gland Tumours Presenter: Dr Mpho Sandamela Commentary : Dr Vukasinovic Moderator: Prof Mieny 14 February 2012 Epidemiology Salivary gland neoplasm are rare 3-5% of all H+N tumours in US 0.5% of
More informationDifferential Diagnosis of Oral Masses. Palatal Lesions
Differential Diagnosis of Oral Masses Palatal Lesions Palatal Masses Periapical Abscess Torus Palatinus Mucocele Lymphoid Hyperplasia Adenomatous Hyperplasia Benign Salivary Neoplasms Malignant Salivary
More informationModalities of Radiation
Modalities of Radiation Superficial radiotherapy Orthovoltage Megavoltage Photons Electrons Brachytherapy Interstitial Moulds When to refer? The vast majority of skin cancers will be managed without any
More informationCarcinoma of Unknown Primary site (CUP) in HEAD & NECK SURGERY
Carcinoma of Unknown Primary site (CUP) in HEAD & NECK SURGERY SEARCHING FOR THE PRIMARY? P r o f J P P r e t o r i u s H e a d : C l i n i c a l U n i t C r i t i c a l C a r e U n i v e r s i t y O f
More informationA 60-year old Man with Left Jaw Mass. Simon Chiosea, MD University of Pittsburgh medical Center 3/15/2016
ACCME/Disclosures The USCAP requires that anyone in a position to influence or control the content of CME disclose any relevant financial relationship WITH COMMERCIAL INTERESTS which they or their spouse/partner
More informationChapter 10: Salivary Gland Disorders. Raymond P. Wood. History
Chapter 10: Salivary Gland Disorders Raymond P. Wood Dysfunction of the salivary glands is usually manifested in one of two ways: swelling of the gland, either diffuse or discrete, or by dry mouth (xerostomia).
More informationSee the latest estimates for new cases of salivary gland cancers in the US and what research is currently being done.
About Salivary Gland Cancer Overview and Types If you have been diagnosed with salivary gland cancer or are worried about it, you likely have a lot of questions. Learning some basics is a good place to
More informationMerkel Cell Carcinoma Case # 2
DISCHARGE SUMMARY Admitted: 10/11/2010 Discharged: 10/13/2010 Merkel Cell Carcinoma Case # 2 Chief Compliant: A 79 year old lady status post tumor on the scalp excision and left neck likely dissection
More informationCase Report Postoperative Radiation Therapy for Parotid Mucoepidermoid Carcinoma
Case Reports in Oncological Medicine, Article ID 345128, 4 pages http://dx.doi.org/10.1155/2014/345128 Case Report Postoperative Radiation Therapy for Parotid Mucoepidermoid Carcinoma Meghan P. Olsen,
More informationEducational Cases EQA November T.J. Palmer Raigmore Hospital Inverness
Educational Cases EQA November 2013 T.J. Palmer Raigmore Hospital Inverness Case 2 Clinical Details Dob 11 February 1951 PMH: 1964 Extraction of 45 aet 13 yr 1966 Cyst between 44 and 46 enucleated 1973
More informationInternational Journal of Health Sciences and Research ISSN:
International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Review Article A Review of Our Experience of Surgery for Parotid Gland Neoplasms Nanjundappa 1*, Vasu Reddy Challa 2,
More informationContemporary treatment of salivary gland tumors. A review of the literature
DOI: 10.18044/Medinform.201742.682 Contemporary treatment of salivary gland tumors. A review of the literature Ioanna Polichroniadou 1, Panagiotis Karakostas 2, Svetoslav Slavkov 3, Assya Krasteva 4 1.
More informationARIZONA SOCIETY OF PATHOLOGISTS 13 TH APRIL 2013 HEAD AND NECK CYTOPATHOLOGY. F ZAHRA ALY, MD, PhD
ARIZONA SOCIETY OF PATHOLOGISTS 13 TH APRIL 2013 HEAD AND NECK CYTOPATHOLOGY F ZAHRA ALY, MD, PhD The main areas sites amenable for cytopathology include lymph nodes, thyroid, major salivary glands especially
More informationSalivary Glands tumors
Salivary Glands tumors Sal.Gl. 1 Salivary Glands tumors Work-up procedure TNM staging Primary treatment Follow-up Treatment of recurrent and/or metastatic disease References Sal.Gl. 2 Standard clinical
More informationContinuing Education Independent Study Series
Continuing Education Independent Study Series Association of Surgical Technologists Publication made possible by an educational grant provided by Kimberly-Clark Corporation OF SURGICAL ECHNOLOGISTS AEGER
More informationThis is the largest of the three major glands. It lies partly in the front of the lower half of the ear and partly below the earlobe.
Parotid Gland Lumps The lining of the mouth contains many small saliva glands. In addition there are three major glands on each side of the face, the parotid, submandibular and sublingual glands. The Parotid
More informationTHE GREAT auricular nerve
ORIGINAL ARTICLE Randomized Prospective Study of the Validity of the Great Auricular Nerve Preservation in Parotidectomy Mauro ecker Martins Vieira, MD; Amélio Ferreira Maia, MD; Jaime Carlos Ribeiro,
More informationSalivary Gland Cytology
Salivary Gland Cytology Diagnostic challenges and potential pitfalls Tarik M. Elsheikh, MD Professor and Medical Director Anatomic Pathology Cleveland Clinic FNA Salivary Gland Lesions Indications Distinguish
More informationOutcome of Surgery in different Parotid Neoplasms
Bangladesh J Otorhinolaryngol 2014; 20(2): 80-86 Original Article Outcome of Surgery in different Parotid Neoplasms Kazi Shameemus Salam 1, Belayat Hossain Siddiquee 2, Md. Mosleh Uddin 3, Syed Farhan
More informationPleomorphic adenoma of submandibular gland: not so common occurrence
International Surgery Journal Gajbhiye AS et al. Int Surg J. 2018 Feb;5(2):657-661 http://www.ijsurgery.com pissn 2349-3305 eissn 2349-2902 Original Research Article DOI: http://dx.doi.org/10.18203/2349-2902.isj20180371
More informationDiseases of oral cavity
Diseases of oral cavity Diseases of Teeth and Supporting Structures Inflammatory/Reactive Lesions Infections Oral Manifestations of Systemic Disease Precancerous and Cancerous Lesions Odontogenic Cysts
More information2018 Oregon Dental Conference Course Handout Denis Lynch, DDS, PhD
2018 Oregon Dental Conference Course Handout Denis Lynch, DDS, PhD Course 9120: Spit Happens (and Sometimes it Doesn t): The Diagnosis and Treatment of Salivary Gland Disease Thursday, April 5 9 am - 12
More informationThere are 3 pairs of major salivary glands, namely
Kathmandu University Medical Journal (2008), Vol. 6, No. 2, Issue 22, 204-208 Original Article Role of FNAC in the diagnosis of salivary gland swellings Akhter J 1, Hirachand S 1, Lakhey M 2 1 Lecturer,
More informationOncocytic-Appearing Salivary Gland Tumors. Oncocytic, Cystic, Mucinous, and High Grade Salivary Gland Tumors SALIVARY GLAND FNA: PART II
William C. Faquin, MD, PhD Professor of Pathology Harvard Medical School Director of Head and Neck Pathology Massachusetts Eye and Ear Massachusetts General Hospital SALIVARY GLAND FNA: PART II Oncocytic,
More informationPerineural Tumor Spread. In Head & Neck Cancer
Head and Neck Imaging Conference University of Perineural Tumor Spread In Head & Neck Cancer Philip Chapman MD University of Alabama, Birmingham OBJECTIVES: 1. Define (PNTS) 2. Distinguish from pathologic
More informationIncreased local recurrence in advanced parotid malignancy treated with mastoidectomy without lateral temporal bone resection
Oral Maxillofac Surg (2017) 21:7 11 DOI 10.1007/s10006-016-0586-x ORIGINAL ARTICLE Increased local recurrence in advanced parotid malignancy treated with mastoidectomy without lateral temporal bone resection
More information2. Materials and Methods
e Scientific World Journal, Article ID 564053, 4 pages http://dx.doi.org/10.1155/2014/564053 Research Article Pleomorphic Adenoma of the Parotid: Extracapsular Dissection Compared with Superficial Parotidectomy
More informationSTAGING, BIOPSY AND NATURAL HISTORY OF TUMORS SCOTT D WEINER MD
STAGING, BIOPSY AND NATURAL HISTORY OF TUMORS SCOTT D WEINER MD WHAT DO YOU DO WHEN THIS SHOWS UP IN YOUR OFFICE? besides panicking KEY PRINCIPLE!!! Reactive zone is the edema, neovascularity and inflammation
More informationNew MRI concepts for the diagnosis of Parotid tumors
New MRI concepts for the diagnosis of Parotid tumors Poster No.: C-1331 Congress: ECR 2012 Type: Educational Exhibit Authors: F. Guerra Gutierrez, F. Baudraxler, V. Suárez-Vega, J. A. Gómez Patiño, C.
More informationSalivary Glands 3/7/2017
Salivary Glands 3/7/2017 Goals and objectives Focus on the entities unique to H&N Common board type facts Information for your future practice Salivary Glands Salivary Glands Major gland. Paratid. Submandibular.
More informationFNA OF SALIVARY GLANDS: A PRACTICAL APPROACH
FNA OF SALIVARY GLANDS: A PRACTICAL APPROACH FNA of Salivary Glands: Challenges Wide range of neoplastic and non-neoplastic lesions Cytological overlap between the different benign and malignant tumors
More informationGiant Pleomorphic Adenoma of the Parotid gland- A Case Report
ISPUB.COM The Internet Journal of Otorhinolaryngology Volume 14 Number 1 Giant Pleomorphic Adenoma of the Parotid gland- A Case Report O M.E, U A.N, U Akpan, K J, I Bassey Citation O M.E, U A.N, U Akpan,
More informationContents. Basic Ultrasound Principles and Terminology. Ultrasound Nodule Characteristics
Contents Basic Ultrasound Principles and Terminology Basic Ultrasound Principles... 1 Ultrasound System... 2 Linear Transducer for Superficial Images and Ultrasound-Guided FNA... 3 Scanning Planes... 4
More informationTHYROID CANCER IN CHILDREN. Humberto Lugo-Vicente MD FACS FAAP Professor Pediatric Surgery UPR School of Medicine
THYROID CANCER IN CHILDREN Humberto Lugo-Vicente MD FACS FAAP Professor Pediatric Surgery UPR School of Medicine Thyroid nodules Rare Female predominance 4-fold as likely to be malignant Hx Radiation exposure?
More information1. What is the embryologic origin of the major salivary glands, and when do they develop? 2. What is the embryologic origin of minor salivary glands?
Salivary Gland Chapters 37, 38, 39, 40 Shapiro 1. What is the embryologic origin of the major salivary glands, and when do they develop? Outpouchings of oral ectoderm in the 6th 8 th week 2. What is the
More informationPrognostic factors affecting the clinical outcome of carcinoma ex pleomorphic adenoma in the major salivary gland
Zhao et al. World Journal of Surgical Oncology 2013, 11:180 WORLD JOURNAL OF SURGICAL ONCOLOGY RESEARCH Open Access Prognostic factors affecting the clinical outcome of carcinoma ex pleomorphic adenoma
More informationHead and Neck Case 1 PATIENT HISTORY
Head and Neck Case 1 PATIENT HISTORY Patient History May 7, 2007 Otolaryngology Head & Neck Subjective: Patient was recently seen by a dentist, who noted a roughness in his lower alveolus, and wanted to
More informationA survey of facial nerve dissection techniques in benign parotid surgery among maxillofacial and ear, nose, and throat surgeons in Nigeria
Original Article A survey of facial nerve dissection techniques in benign parotid surgery among maxillofacial and ear, nose, and throat surgeons in Nigeria WL Adeyemo, OA Taiwo, OA Somefun 1, HO Olasoji
More informationComprehensive Management of Head and Neck Tumors. Stanley E Thawley, William R Panje, John G Batsakis, Robert D Lindberg
Comprehensive Management of Head and Neck Tumors Stanley E Thawley, William R Panje, John G Batsakis, Robert D Lindberg Chapter 46: Controversies Regarding Therapy of Tumors of the Salivary Glands John
More informationEnterprise Interest None
Enterprise Interest None Risk stratification of salivary gland lesions on cytology based on the proposed Milan System for reporting salivary gland cytopathology: A pilot study Kartik Viswanathan, M.D.,
More informationInterpretation pearls for MR imaging of parotid gland tumor
European Annals of Otorhinolaryngology, Head and Neck diseases (2013) 130, 30 35 Available online at www.sciencedirect.com TECHNICAL NOTE Interpretation pearls for MR imaging of parotid gland tumor S.
More informationOriginal Articles Malignant Salivary Gland Neoplasmclinicopathological
5 Bangladesh J of Otorhinolaryngology 2008; 14(1) : 1-5 Original Articles Malignant Salivary Gland Neoplasmclinicopathological Study Mohammed Shafiqul Islam 1, Md. Azharul Islam 2, Md. Abdus Sattar 3,
More informationA study of complications of superficial parotidectomy
A study of complications of superficial parotidectomy *Dr. Probal Chatterji ------------------------------------------------------------------------------------------------------------------------------
More informationMalcolm Mattes, MD Ajay Tejwani, MD, MPH New York Methodist Hospital
Malcolm Mattes, MD Ajay Tejwani, MD, MPH New York Methodist Hospital 39 year old female patient who felt a mass in the right gluteal area. Slowly growing over the course of 2 3 months. The mass is associated
More informationLesions Mimicking Adenoid Cystic Carcinoma. Diagnostic Problems in Salivary Gland Pathology An Update 5/29/2009
Diagnostic Problems in Salivary Gland Pathology An Update Lesions Mimicking Adenoid Cystic Carcinoma Stacey E. Mills, M.D. W.S. Royster Professor of Pathology Director of Surgical and Cytopathology University
More informationCutaneous Melanoma: Epidemiology (USA) The Sentinel Node in Head and Neck Melanoma. Cutaneous Melanoma: Epidemiology (USA)
The Sentinel Node in Head and Neck Melanoma Cutaneous Melanoma: Epidemiology (USA) 6 th leading cause of cancer among men and women 68,720 new cases of invasive melanoma in 2009 8,650 deaths from melanoma
More informationCase Report Joint Use of Skull Base Surgery in a Case of Pediatric Parotid Gland Carcinoma
Case Reports in Otolaryngology, Article ID 158451, 4 pages http://dx.doi.org/10.1155/2014/158451 Case Report Joint Use of Skull Base Surgery in a Case of Pediatric Parotid Gland Carcinoma Yuri Ueda, 1
More informationImaging Work-Up of a Neck Mass - Adults & Children
Disclosures Imaging Work-Up of a Neck Mass - Adults & Children I have nothing to disclose Christine M Glastonbury MBBS Professor of Radiology & Biomedical Imaging Otolaryngology-Head & Neck Surgery and
More information이하선에발생한와르틴종양 : 증례보고. Warthin Tumor of the Parotid Gland: A Case Report. Jungwoo Cho, Seung Hwan Jung, Jin Su Kim, Je Uk Park, Chang Hyen Kim *
Korean Journal of Oral and Maxillofacial Pathology 2017;41(4):175-179 ISSN:1225-1577(Print); 2384-0900(Online) Available online at http://journal.kaomp.org https://doi.org/10.17779/kaomp.2017.41.4.004
More informationTreatment of parotid gland tumors in Latvian Oncological Center
Treatment of parotid gland tumors in Latvian Oncological Center Egils Kornevs, Juris Tars, Andris Bigestans, Gunars Lauskis SUMMARY A total of 268 patients were treated for parotid gland lesions at department
More informationCase Scenario 1 Worksheet. Primary Site C44.4 Morphology 8743/3 Laterality 0 Stage/ Prognostic Factors
CASE SCENARIO 1 9/10/13 HISTORY: Patient is a 67-year-old white male and presents with lesion located 4-5cm above his right ear. The lesion has been present for years. No lymphadenopathy. 9/10/13 anterior
More informationYou Can t Avoid Errors
Avoiding Errors in Head and Neck Cancer Imaging Lawrence E. Ginsberg, M.D. Departments of Diagnostic Imaging and Head and Neck Surgery University of Texas M.D. Anderson Cancer Center Houston, Texas You
More informationSalivary gland tumor cytologic and histologic correlation: Algorithmic and risk stratification based approaches
Salivary gland tumor cytologic and histologic correlation: Algorithmic and risk stratification based approaches Christopher C. Griffith, MD, PhD Raja R. Seethala, MD 1. Salivary gland tumor cytology: A
More informationORIGINAL ARTICLE. Fine-Needle Aspiration Biopsy of Salivary Gland Lesions in a Selected Patient Population
ORIGINAL ARTICLE Fine-Needle Aspiration Biopsy of Salivary Gland Lesions in a Selected Patient Population Erik G. Cohen, MD; Snehal G. Patel, MD; Oscar Lin, MD; Jay O. Boyle, MD; Dennis H. Kraus, MD; Bhuvanesh
More informationB I O L I F E R E S E A R C H A R T I C L E
AN INTERNATIONAL QUARTERLY JOURNAL OF BIOLOGY & LIFE SCIENCES 5(2):170-177 B I O L I F E R E S E A R C H A R T I C L E Partial superficial parotidectomy versus conventional superficial parotidectomy for
More informationNASAL SEPTUM ADENOID CYSTIC CARCINOMA: A CASE REPORT
NASAL SEPTUM ADENOID CYSTIC CARCINOMA: A CASE REPORT Shu-Yu Tai, 1 Chen-Yu Chien, 2 Chih-Feng Tai, 2,4 Wen-Rei Kuo, 2,4 Wan-Ting Huang, 3 and Ling-Feng Wang 2,4 Departments of 1 Family Medicine, 2 Otolaryngology
More informationUnknown Cases from the Participants
Unknown Cases from the Participants Case 1: 1 Case 1: Case 1: DDX? Answer on next slide Case 1: MS V5 Neuropathy Case 2: Case 2: 76 year old woman Ultrasound for multinodular goiter finds suspicious nodule
More informationMystery in parotid. T. Mohanapriya*, T. P. Karthikeyan, K. Balaji Singh, T. Arulappan
International Surgery Journal Mohanapriya T et al. Int Surg J. 2017 Nov;4(11):3617-3621 http://www.ijsurgery.com pissn 2349-3305 eissn 2349-2902 Original Research Article DOI: http://dx.doi.org/10.18203/2349-2902.isj20174654
More informationT been frequently reported as arising centrally
CENTRAL SALIVARY GLAND TUMORS OF JAWS I. K. DHAWAN, MS, FACS,* S. BHARGAVA, MD,~ N. C. NAYAK, AND R. K. GUPTA, MS" MD,~ Nine cases of central salivary gland tumors of the jaws were seen during the period
More informationSCOPE OF PRACTICE PGY-5
Recognize normal cytomorphology of cells derived from the respiratory, gastrointestinal, and genitourinary tracts, and body fluid (Cerebrospinal fluid, pleural and peritoneal fluid) Recognize normal cytomorphology
More information(CYLINDROMA) ATLAS OF HEAD AND NECK PATHOLOGY ADENOID CYSTIC CARCINOMA
(CYLINDROMA) This malignant tumor is poorly encapsulated and while seemingly well defined within the affected gland, there is usually infiltration of surrounding tissue on closer examination. The cut surface
More informationAdenoid Cystic Carcinoma Minor Salivary Gland Origin
Adenoid Cystic Carcinoma Minor Salivary Gland Origin Educational Session Presenter: Smith JA Supervisors: Palme CE, Gupta R Content Case report Imaging Primary Therapy Surgery Adjuvant Therapy Radiotherapy
More informationCase Presentation and Discussion on Posterior Neck Mass. Martin Joseph S. Cabahug
Case Presentation and Discussion on Posterior Neck Mass Martin Joseph S. Cabahug General Data: C.A, 60 y/o male Sta. Ana, Mla Chief Complaint: Posterior Neck Mass History and Physical Exam 2 wks PTA mass,
More informationManagement guideline for patients with differentiated thyroid cancer. Teeraporn Ratanaanekchai ENT, KKU 17 October 2007
Management guideline for patients with differentiated thyroid Teeraporn Ratanaanekchai ENT, KKU 17 October 2007 Incidence (Srinagarind Hospital, 2005, both sex) Site (all) cases % 1. Liver 1178 27 2. Lung
More informationobjectives Pitfalls and Pearls in PET/CT imaging Kevin Robinson, DO Assistant Professor Department of Radiology Michigan State University
objectives Pitfalls and Pearls in PET/CT imaging Kevin Robinson, DO Assistant Professor Department of Radiology Michigan State University To determine the regions of physiologic activity To understand
More informationKaroline Nowillo, MD. February 1, 2008
Case Presentation Karoline Nowillo, MD SUNY Downstate t February 1, 2008 Case Presentation Chief complaint enlarging goiter x 8 months History of present illness shortness of breath, heaviness in chest
More informationPLEOMORPHIC ADENOMA ( BENIGN MIXED TUMOR )
( BENIGN MIXED TUMOR ) Grossly, the tumor is freely movable, solid, sometimes lobulated and occasionally cystic. If recurrent, multinodular masses are common. Histologically, within a fibrous capsule,
More informationDr Nick McIvor. Dr John Chaplin. Head & Neck Surgeon Auckland City Hospital Auckland. Auckland Head & Neck Surgeon Gillies Hospital Auckland
Dr Nick McIvor Head & Neck Surgeon Auckland City Hospital Auckland Dr John Chaplin Auckland Head & Neck Surgeon Gillies Hospital Auckland 14:00-14:55 WS #148: Case Studies of Lumps in the Neck 15:05-16:00
More informationApproach to Thyroid Nodules
Approach to Thyroid Nodules Alice Y.Y. Cheng, MD, FRCPC Twitter: @AliceYYCheng Copyright 2017 by Sea Courses Inc. All rights reserved. No part of this document may be reproduced, copied, stored, or transmitted
More informationOriginal Article. Clinical Outcome of Parotidectomy with Reconstruction: Experience of a Regional Head and Neck Cancer Unit
NJS_24_15R2 [Downloaded free from http://www.nigerianjsurg.com on Tuesday, April 05, 2016, IP: 41.132.79.253] Original Article Clinical Outcome of Parotidectomy with Reconstruction: Experience of a Regional
More informationEvaluation of Head and Neck Masses in Adults
Evaluation of Head and Neck Masses in Adults Kristi Chang, MD Associate Professor Department of Otolaryngology-Head and Neck Surgery University of Iowa Hospitals and Clinics Annual Refresher Course for
More information