1 - ENT - Head and neck - Salivary gland disease - Malignant salivary gland tumours + metastases Flashcards
1
Q
3 types of MSGTs
A
adenoid cystic carcinoma
adenocarcinoma
lymphoma
2
Q
Adenocarcinoma - 1 feature + prognosis
A
highly malignant
10% 5y survival
3
Q
Lymphoma - most commonly what? age range? 3 features?
A
- non-hodgkins lymphoma
- usually 50-70y
- firm
- rapidly enlarging masses
- occasional LN mets
4
Q
adenoid cystic carcinoma - how common? arises from? growth rate? what is common + how presents?
A
most common malignant tumour
arises from reserve cells
slow insidious growth
neural invasion common - often presents with pain and palsies
5
Q
adenoid cystic CA - %’s of where it is
A
28% sublingual
16% submandibular
13% minor glands
2% parotid
6
Q
adenoid cystic CA - age range? prognosis? mgmt?
A
40-60y usually
15-y survival ~30%
mgmt - local resection + radiotherapy
7
Q
where do salivary mets commonly come from
A
commonly skin - melanoma, SCC
also from lung, breast, GI, kidney
