You are on page 1of 22

Pembimbing:

dr. Rantapina Kurnia Sari, Sp. B


Disusun oleh:

Iqnasia Windy Novitasari


I11111059
KEPANITERAAN KLINIK ILMU BEDAH
RSUD DR ABDUL AZIZ SINGKAWANG
FAKULTAS KEDOKTERAN UNIVERSITAS TANJUNGPURA
PONTIANAK
2016

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 HISTOLOGICAL CLASSIFICATION OF TUMOURS


OF THE HYPOPHARYNX, LARYNX AND TRACHEA

WHO CLASSIFICATION OF
TUMOURS OF THE ORAL CAVITY
AND OROPHARYNX

WHO HISTOLOGICAL CLASSIFICATION OF


TUMOURS OF THE SALIVARY GLANDS

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%)

Carcinoma of the tongue

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.

Wedge resection of lower lip


squamous cell carcinoma

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 III middle jugular


chain nodes; inferior to the
hyoid, superior to the level
of the cricoid jugular chain
nodes
Level IV lower jugular
chain nodes; inferior to the
level of the cricoid,
superior to the clavicle
Level V posterior
triangle nodes
Levels of the neck denoting
lymph node bearing regions.

Level I the submental


and submandibular nodes
Level II upper jugular
chain nodes

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

PRIMARY LYMPHATICS FOR REGIONAL


SPREAD OF ORAL CAVITY
MALIGNANCIES

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.

Example of the resection of a


verticaL partial laryngectomy
for an early stage glottic
carcinoma

Anterior mandibulotomy with


mandibular swing to
approach a posterior lesion.

Parapharyngeal mass prestyloid with


prominent
oropharyngeal presentation typical of a

THANK YOU