Ch 11 Flashcards
Clinical mucoceles of the upper lip are most likely to be a
salivary gland tumor
Mucoceles of the retromolar region will most likely prove to be
Mucoepidermoid carcinoma
What is a mucocelle of the FOM called
Ranula
What is marsupialization
removal of the roof of the intraoral lesion.
What is a salivary duct cyst
Epithelium lined cavity that arises from salivary gland tissue
What are the common sites for salivary duct cysts
Parotid gland
FOM
Buccal mucosa
lips
What are salivary stones/formation called
Sialolith/sialolithiasis
What are common sites for sialoliths
Submandibular gland (Wharton’s duct)
upper lip
buccal mucosa
What are common causes of sialadenitis
Viral(mumps) and bacterial infections Sjogren syndrome Sarcoidosis Radiation Recent surgery Allergic reaction Obstruction of salivary duct
What is sialadenosis
non-inflammatory asymptomatic salivary gland enlargement
Minor salivary glands are what kind
Mucenus
What can mimic neoplasm
Adenoid hyperplasia of the minor salivary glands
What is a local destructive inflammation of the salivary glands,
Necrotizing sialometaplasia
What is mucupurulent swelling and eversion of the lower lip
Cheilitis glandularis
What is excessive salivation
Sialorrhea
What are common complications of xerostomia
candidiasis
Prone to cervical root caries
Alteration of taste
What are common causes of xerostomia
Meds caffeine/alc/smoking rad sjorgrens diabetes sarcoidosis Surgery of salivary glands
What are some Rx for xerostomia
Pilocarpine (Salagen)
Cevimeline (Evoxac)
What is the believed cause of sialometaplasia
Ischemia due to traumatic injuries such as dental injections or previous surgery.
What is another name for Sjogren’s syndrome SS
Sicca syndrome
What are two Rx meds for SS
Sialogauges: pilocarpine (Salagen) and Cevimeline (Evoxac)
Patients with SS have a 40x risk for
MALT lymphoma
What are the most common sites for Salivary neoplasms
Parotid gland: 64-80% of all cases
Palate (posterior lateral hard of soft): most common 50% for MINOR salivary gland neoplasm
What % of sublingual neoplasm are malignant
70-90%
neoplasms are most common in which lip
upper
Neoplasms in which lip are mostly malignant
lower lip
Which is the most common benign neoplasm
pleomorphic adenoma
Which is the most common malignant neoplasm
mucoepidermoid carcinoma
What are 4 benign salivary gland neoplasms
Canalicular adenoma
Pleomorphic adenoma
Warthin tumor
Oncocytoma
What is another name for Warthin tumor
papillary cystadenoma lymphomatosum
75 % of time canalicular adenoma is found where
upper lip
Besides canalicular adenoma what else is more commonly found in the upper lip
Pleomorphic adenoma
What is the term for a benign mixed tumor
pleomorphic adenoma
Histologically pleomorphic adenoma shows
microscopic diversity
tumor is encapsulated
What is another name for Warthin’s tumor
papillary cystadenoma lymphomatosum