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Oral Pathology 2020 > Chapter 11 Test #3 lecture 2 > Flashcards

Chapter 11 Test #3 lecture 2 Flashcards

1
Q

What is a swelling and eversion of the lower lip as a result of hypertrophy and inflammation of the minor salivary glands?

A

-Cheilitis Glandularis

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2
Q

What is the clinical presentation of cheilitis glandularis?

A
  • Swelling and pain typically of the lower lip
  • Eversion of the lip
  • Red dots indicate duct orifices
  • Mucopurulent secretion “weeping”
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3
Q

What histology do you see with cheilitis glandularis?

A
  • Chronic sialadenitis

- Ductal dilation

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4
Q

Who do you typically see cheilitis glandularis in?

A

-Middle aged to older males

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5
Q

Is cheilitis glandularis pre-malignant?

A

-Not typically

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6
Q

What looks like cheilitis glandularis and is pre-malignant?

A

-Actinic cheilosis

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7
Q

What is Sialorrhea?

A

-Excessive salivation

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8
Q

What is the treatment of Sialorrhea?

A
  • Treat the underlying cause
  • Anticholinergic medications
  • Scopolamine transdermal patch
  • Surgery: relocation of the salivary ducts to tonsillar fossa
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9
Q

What can cause sialorrhea?

A
  • Aphthous ulcers
  • Ill-fitting dentures
  • GERD
  • Rabies
  • Heavy metal poisoning
  • Cholinergic agonists (medication)
  • Lithium (Medication)
  • Idiopathoic paroxysmal sialorrhea
  • Down syndrome
  • Cerebral palsy
  • Neurologic disorder
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10
Q

What is xerostomia?

A

-Subjective sensation of a dry mouth

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11
Q

What are complications of xerostomia?

A
  • Candidiasis
  • Prone to cervical and root caries
  • Alteration of taste
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12
Q

What are common causes of xerostomia?

A
  • Medication
  • Caffeine/alcohol
  • Smoking
  • Radiation therapy
  • Sjogren’s syndrome
  • Diabetes mellitus
  • Sarcoidosis
  • Surgery of salivary glands
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13
Q

What is the management of xerostomia?

A
  • Elimination of alcohol, smoking, and caffeine consumption
  • Drug modification if possible
  • Sugarless candies and gum
  • Oral lubricants
  • Pilocarpine (Salagen) (medication)
  • Cevimeline (Evoxac) (medication)
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14
Q

What categories of drugs can cause xerostomia?

A
  • Anti-hypertensive drugs
  • Diurectics
  • Anti-depressant
  • Anti-anxiety
  • Anti-inflammatory
  • Anti-histamine
  • Anti-convulsant
  • Muscle relaxant
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15
Q

What is an Autoimmune disease mainly affecting salivary and lacrimal glands?

A

-Sjogren’s syndrome

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16
Q

What is primary Sjogren’s syndrome?

A

-There are no other autoimmune disease

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17
Q

What is secondary Sjogren’s syndrome?

A

-Associated with other autoimmune diseases

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18
Q

If you wipe you glove on the hard palate of someone and it sticks what is that a sign of?

A

-Xerostomia

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19
Q

What is another name for Sjogren’s syndrome?

A

-Sicca syndrome

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20
Q

What are the ocular tests for sjogren’s syndrome?

A
  • Schimer test

- Rose bengal test

21
Q

What is needed to diagnose Sjogren’s syndrome?

A
  • Positive serum anti SSA and/or anti-SSB
  • Ocular staining score greater than or equal to 3
  • Presence of focal lymphocytic sialadenitis with a focus (aggregate) score greater than or equal to 1 in 4 square mm
22
Q

If a person has Sjogren’s syndrome what are they at increased risk for?

A

-Lymphoma (marginal zone lymphoma)

23
Q

What is the most common site for a salivary gland neoplasms?

A

-Parotid gland

24
Q

What are two typical presentations encountered?

A
  • Smooth surfaced dome shaped nodule

- An ulcerated mass lesion

25
Q

Are most sublingual neoplasms malignant or benign?

A

-Malignant

26
Q

What is the most common site for minor salivary gland neoplasm?

A

-Palate

27
Q

What percent of parotid salivary gland neoplasms are benign and malignant?

A
  • 70 benign

- 30 malignant

28
Q

What percent of submandibular gland neoplasms are benign and malignant?

A
  • 60 benign

- 40 malignant

29
Q

What percent of sublingual gland neoplasms are benign and malignant?

A
  • 30 benign

- 70 malignant

30
Q

What percent of minor glands neoplasms are benign and malignant?

A
  • 50 benign

- 50 malignant

31
Q

What percent of upper lip salivary gland neoplasms are benign and malignant?

A
  • 80 benign

- 20 malignant

32
Q

What percent of lower lip salivary gland neoplasms are benign and malignant?

A
  • 40 benign

- 60 malignant

33
Q

What percent of palate salivary gland neoplasms are benign and malignant?

A
  • 50 benign

- 50 malignant

34
Q

What percent of tongue salivary gland neoplasms are benign and malignant?

A
  • 15 benign

- 85 malignant

35
Q

What percent of cheek salivary gland neoplasms are benign and malignant?

A
  • 50 benign

- 50 malignant

36
Q

What percent of retromolar pad salivary gland neoplasms are benign and malignant?

A
  • 10 benign

- 90 malignant

37
Q

Are salivary gland neoplasms more common in the upper lip or lower lip?

A

-Upper lip

38
Q

Are upper lip salivary gland neoplasms mostly benign or malignant?

A

-Benign

39
Q

Are lower lip salivary gland neoplasms mostly benign or malignant?

A

-Malignant

40
Q

What is the most common neoplasms?

A

-Pleomorphic adenoma

41
Q

Is a pleomorphic adenoma benign or malignant?

A

-Benign

42
Q

What is the most common malignant neoplasm?

A

-mucoepidermoid carcinoma

43
Q

What are four benign salivary gland neoplasms?

A
  • Canalicular adenoma
  • Pleomorphic adenoma
  • Warthin tumor (papillary cystadenoma lymphomatosum)
  • Oncocytoma
44
Q

What is a canalicular adenoma?

A

-A type of monomorphic adenoma

45
Q

Where do you mostly find a canalicular adenoma?

A

-Upper lip

46
Q

Where is canalicular adenoma found exclusively?

A

-Minor glands

47
Q

If a person is younger than 50 and you see a salivary gland neoplasms on the upper lip what are you thinking?

A

-Pleomorphic adenoma

48
Q

If a person is older than 60 and you see a salivary gland neoplasms on the upper lip what are you thinking?

A

-Canalicular adenoma

Oral Pathology 2020 (38 decks)

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