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TUMORS OF THE
HEAD AND
WHO
HISTOLOGI
-CAL
CLASSIFICATION OF
TUMOURS
OF THE
NASAL
CAVITY
AND
PARANASA
L SINUSES
WHO HISTOLOGICAL
CLASSIFICATION OF TUMOURS
OF THE NASOPHARYNX
WHO CLASSIFICATION OF
TUMOURS OF THE ORAL CAVITY
AND OROPHARYNX
WHO HISTOLOGICAL
CLASSIFICATION OF
ODONTOGENIC TUMOURS
WHO HISTOLOGICAL
CLASSIFICATION OF TUMOURS
OF THE EAR
RISK FACTORS
Cigarette smoking
Smoking and alcohol are synergistic
Male sex
> 50 years of age
Squamous cell carcinomas (95%)
SYMPTOMS
Persistent symptoms that may be due to head and
neck cancer include:
hoarseness;
oral ulcer/white or red patch;
sore throat;
dysphagia;
cervical swelling.
CLINICAL
ASSESSMENT
Inspection for obvious swellings
Systematic bilateral palpation of the neck from
behind should be performed
Palpate down along the trapezius muscles, up
over the posterior triangles to the mastoid
processes and down again anterior to the
sternomastoids. Come up the central structures
(thyroid, larynx, hyoid) to the submental triangle
and finally the submandibular area.
PLEOMORPHIC
ADENOMA
NECK MASSES
Congenital cysts
Thyroglossal duct
cysts
Branchial cysts
Nodal (infective)
Bacterial: Brucella,
tuberculosis
Viral: glandular
fever
Toxoplasma
Parapharyngeal
abscess
Neoplastic
Thyroid disease
Salivary gland
Inflammatory
Neoplastic
Carotid body tumour
Level VI anterior
compartment nodes;
inferior to the hyoid,
superior to suprasternal
notch, medial to the
lateral extent of the strap
muscles bilaterally
Level VII paratracheal
ORAL TONGUE
Nonkeratinizing squamous epithelium
The tumors may present as ulcerations or as
exophytic masses
Ooccur on any surface, but are most commonly seen
on the lateral and ventral surfaces.
Primary tumors of the mesenchymal components of
the tongue include leiomyomas, leiomyosarcomas,
rhabdomyosarcomas, and neurofibromas.
Surgical treatment of small (T1T2) primary tumors
is wide local excision with either primary closure or
healing by secondary intention.
A-C. KARAPANDZIC
LABIAPLASTY FOR LOWER LIP
CARCINOMA
THE RESECTION OF
LARGE TUMORS OF
THE FLOOR
A and B.
Differences in
the transoral resection of
a floor of mouth and
alveolar ridge lesion.
THANK YOU