ch 11 salivary pathology (just diseases)

Question 1

Mucocele or mucus cyst

Answer 1

-salivary duct cyst

Question 2

Ranula

Answer 2

-mucocele on the floor of the mouth

Question 3

Sialolithiasis

Answer 3

• most often ductal system of submandibular gland

- major gland sialoliths cause episodic swelling esp at mealtime

Question 4

Sialadenitis

Answer 4

• infectious and non-inf causes
• affected gland swollen,
• low grade fever

Question 5

Kuttner tumor

Answer 5

Sialadenitis in submand. G. persistent enlargement

Question 6

Chronic sclerosing sialadentits

Answer 6

sialadenitis with fibrous present

Question 7

Rare inflammatory condition of minor salivary glands

• lower lip with swelling and eversion as result of hypertrophy and inflammation of glands,
• middle aged and older men

Answer 7

Cheilitis Glandularis

Question 8

The openings of the minor glands are inflamed and dilated and pressure on the glands may produce mucopurulent secretions

Answer 8

cheilitis glandularis

Question 9

excessive salivation

Answer 9

sialorrhea

Question 10

dry mouth

Answer 10

xerostomia

Question 11

• mikulicz disease vs syndrome
• epimyoepithelial islands
• malt lymphomas
• now thought MD probably sjogren syndrome

Answer 11

Benign lymphepithelial lesion

Question 12

-chronic, systemic autoimmune disease that principally involves the salivary and lacrimal glands resulting in xerostomia and xerophthalmia (dry eyes)

Answer 12

Sjorgren Syndrome

-possibly also known as Sicca syndrome

Question 13

effect of sjorgren’s syndrom on the eye(s)

Answer 13

Keratoconjunctivitis sicca (sicca Syndrome)

Question 14

“fruit-laden branchless tree”

Answer 14

sjogrens syndrome

Question 15

• noninflammatory disorder; salivary gland enlargement (parotids)
• endocrine, nutritional or neurogenic
• conditions include DM, general malnutrition, alcoholism and bulimia
• caused by deregulation of autonomic innervation of salivary acini with excessive accumulation of secretory granules (enlargement)

Answer 15

Sialadenosis (Sialosis)

Question 16

• locally destructive inflammatory condition of salivary glands
• ischemia leads to local infarction
• predisposing factors include: trauma, injections, ill-fitting dentures, URI, adjacent tumors and previous surgery
• -posterior palate

Answer 16

Necrotizing Sialometaplasia

Question 17

-Most common Salivary Gland neoplasm

Answer 17

Pleomorphic Adenoma (pleomorphic multiple forms of the supportive stroma, it’s not what makes the tumor, it’s the surrounding stuff)

Question 18

tumor that is exclusively parotid

-huge male predillection, especially in smokers

Answer 18

Warthin tumor

Question 19

canalicular and basal cell types; some feel warthin tumor and oncocytoma should be included

• CA exclusively minor glands in upper lip followed by BM; BCA mostly parotid followed by UL
• surgical excision
• same tumor as pleomorphic adenmoa, but no stroma

Answer 19

Monomorphic adenoma(s)

Question 20

-most common malignant Salivary Gland neoplasm;
-occurs faily evenly over wide age range,
most common malignant SGT in CHILDREN

Answer 20

MUCOEPIDERMOID CARCINOMA

Question 21

• Bc of distinctive histological features originally called cylindroma
• 50% develop in minor glands and rare in parotid….
• most common middle aged adults and rare younger than 20
• tendency to show PERINEURAL invasion (and metastasis) which probably corresponds to the clinical finding of pain
• histo shows cribriform tubular and solid variants
• sometimes cells have a swirling arrangement around nerve bundles
• Persistent tumor
• the histology looks like “cylinders” or swiss cheese

Answer 21

Adenoid cystic Carcinoma

Question 22

• exclusively a tumor of minor salivary glands
• 65% hard or soft palate followed by UL and BM
• 2/3 of all cases in females
• painless mass that may have been present for a long time with slow growth
• perineural invasion but prognosis is good

Answer 22

Polymorphous low-grade Adenocarcinoma