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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. neck surgery.
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ETIOLOGIES - INFLAMMTORY Pyogenic lymphadenitis & R.L.HPyogenic lymphadenitis & R.L.H Scrofula.Scrofula. Cat scratch.Cat scratch. Toxoplasmosis.Toxoplasmosis. Sialadenitis.Sialadenitis. Thyroiditis.Thyroiditis. I.M.NI.M.N AIDSAIDS
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ETIOLOGIES- NEOPLASTIC PRIMARY TUMORS Lymphoma.Lymphoma. Thyroid.Thyroid. Salivary Gland.Salivary Gland. Vascular.Vascular. Neurogenic.Neurogenic.
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ETIOLOGIES – NEOPLASTIC METASTATIC TUMORS SUPRACLAVICULAR.SUPRACLAVICULAR. INFRACLAVICULAR.INFRACLAVICULAR. ANKNOWN ORIGIN.ANKNOWN ORIGIN.
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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.
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HISTORY 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.
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PHYSICAL EXAMINATION LYMPH NODE CHARACTERISTICS Hard, Fixed.Hard, Fixed. Rubbery, Matted.Rubbery, Matted. Fluctuant.Fluctuant. Tender.Tender.
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PHYSICAL EXAMINATION COMPLETE HEAD AND NECK EXAMINATION Ear.Ear. Nose.Nose. Oral Cavity.Oral Cavity. Larynx and Hypopharynx.Larynx and Hypopharynx. Nasopharynx.Nasopharynx. Neck.Neck. Skin and Scalp.Skin and Scalp.
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PHYSICAL EXAMINATION General examination Breast.Breast. Lymph Nodes.Lymph Nodes. Prostate.Prostate. Rectum.Rectum.
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FNA اولین گام تشخیص پاراکلینیک در توده گردنی است.
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LABORATORY 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.
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ROUTINE RADIOGRAPHIC STUDIES Chest x – ray.Chest x – ray. Computerized Tomographr.Computerized Tomographr.
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ANCILLARY IMAGING STUDIES Bone Scan.Bone Scan. GL Tract studies.GL Tract studies. Thyroid Scan.Thyroid Scan. IVPIVP Liver / Spleen Scan.Liver / Spleen Scan.
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PANENDOSCOPY Nasopharyngoscopy.Nasopharyngoscopy. Laryngoscopy.Laryngoscopy. Bronchoscopy.Bronchoscopy. Esophagoscopy.Esophagoscopy.
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THERAPEUTIC OPTIONS BASED ON FROZEN SECTION ANALYSIS OF NECK MASS BIOPSY NECK MASS BIOPSY UNDIFFERENTIATED OR SQUAMOUS CARCINOMA ADENOCARCINOMATHYROIDCARCINOMA BENIGN NON- DIAGNOSTICLYMPHOMAINFRACLAVICULARPRIMARY NECK DISSECTION LOOK FOR PRIMARY LOW NECK NODE HIGH NECK NODE NECK DISSECTION THYROIDECTOMY LOOK FOR PRIMARY EXCISE SALIVARY TUMOR NO FURTHER SURGERY
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DIAGNOSTIC AND THERAPEUTIC APPROACH TO CERVICAL MASSES HISTORY PHYSICAL AND FINE NEEDLE ASPIRATE LAB AND X-RAY FINDINGS PRIMARYUNKNOWN RANDOMBIOPSIES POSITIVE TREAT NEGATIVE BIOPSY LYMPH NODE PRIMARYKNOWN BIOPSY OF LESION
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