Head and Neck Flashcards
Papillary thyroid carcinoma
> Young females
Papillary and colloid follicules
Histology - papillary projections / empty nuclei
Excellent prognosis
Multinodular
Lymphnode spread
Follicular adenoma
> Single nodule
Non malignant from histology
Follicular carcinoma
> Histology - encapsulated (differentiated from adenoma)
Vascular invasion
Lymphatic spread
Common bone metastasis
Medullary carcinoma
> From parafollicular C-cells, not thyroid tissue
Secrete calcitonin
Associated with MEN Type 2a
Lymphatic and haematogenous spread
Blood supply to thyroid
superior and inferior thyroid arteries.
> Left Subclavian artery > thyrocervical trunk > inferior thyroid arteries
> External carotid artery > superior thyroid arteries
> Thyroidea ima (in 10% of population -from brachiocephalic artery or aorta)
Venous supply from thyroid
> Superior and middle thyroid veins - into the IJV
> Inferior thyroid vein - into the brachiocephalic veins
Origins of parathyroid glands
Superior parathyroids > 4th pharyngeal pouch
Inferior parathyroids > 3rd pharyngeal pouch
Contents of carotid sheath
Vagus, common carotid, IJV
Outside - Ansa cervicalis
Ansa cericalis
Sternohyoid, omohyoid, sternothyroid
1st Pharyngeal Arch
Trigeminal Nerve V
Maxillary Artery
Malleus / Incus
Mastication muscles
1st Pharyngeal Pouch
Middle ear
Thyroid
2nd Pharyngeal Arch
Facial Nerve VII
Hyoid / Stapedius Artery
Stylo-Hyoid cartilage / Stapes
Facial Expression muscles
2nd Pharyngeal Pouch
Tonsillar fossa
Thyroid
3rd Pharyngeal Arch
Glossopharyngeal Nerve IX
Internal Carotid Artery
Hyoid cartilage
Posterior portion of tongue
3rd Pharyngeal Pouch
Thymus
Inferior parathyroids