Carotid body tumors.Nodal disease

Dr. Benjamín Robles MariscalDr.: Héctor Manuel Virgen AyalaStudent: Angélica López Villegas

UNIVERSIDAD DE GUADALAJARACENTRO UNIVERSITARIO DE CIENCIAS DE LA SALUD

CLINICAL SURGERY DEPARTAMENT

CAROTID BODY TUMORS

Anatomy

Physiology.CO

2 PAR

TIAL

PRE

SSU

REO

2 PARTIAL PRESSURE

Increased oxygenation through various routes.

Carotid body tumor.

60-80years

Chronic hypoxemia

Inheritance

Physical examination.

Classification of Shamblin.

NormalType I

Type IIType III

Diagnosis.

Confirmation with imaging studies.

Clinical case

Female patient, white, 63 years old, who has a tumor in the left lateral region of neck, haven’t symptoms. Physical examination tests a palpable tumor, hard, lightly painful to touch. Laboratory tests within normal parameters.

Treatment.

ObservationRadiationSurgical removal

NODAL DISEASE

TuberculosisMetastatic adenopathy

Anatomy

Histology

Tuberculosis

Epidemiology.

80-90% have clinical disease.

10-15% Present revival.

80% Pulmonary.

Nodal tuberculosis.

History of tuberculosis Painless

Underlying disease

Ganglio-megalia

Diagnosis and treatment.

Biopsy

Case

Male, 25 years who had a flu-like a month of evolution characterized by dry cough, fever and sweating evening. He returned with from ten days ago a lone adenopathy rapid growth. On examination, lymphadenopathy was observed painless, soft consistency, 2 cm diameter located in the lateral region. On palpation there were no other suspects in the cervical nodes, axillary or inguinal. The blood tests were normal except for an VSG of 70 mm in the first hour.

Metastatic adenopathy

When metastatic nodal disease suspect?

Levels and pattern of dissemination of cancer.

Treatment.

Radical neck dissectionModified radical neck dissection

Selective neck dissection