Diseases of Salivary Glands Flashcards

1
Q

The following are _____ salivary glands:
Parotid
Submand
Sublingual

A

Major

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2
Q
The following are \_\_\_\_\_ salivary glands:
Palate
Buccal mucosa
Tongue
Floor of mouth
Labial mucosa
Retromolar pad
Oropharynx
A

Minor

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3
Q

In regards to serous or mucous acini, what is the parotid gland made up of?

A

Serous acini

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4
Q

In regards to serous or mucous acini, what is the submand gland made up of?

A

Mixed - mostly serous

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5
Q

In regards to serous or mucous acini, what is the sublingual gland made up of?

A

Mixed - mostly mucous

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6
Q

Where are the majority of the minor salivary glands?

A

Palate

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7
Q

Minor gland of the tongue
Circumvallate papillae
–serous

A

Glands of Von ebner

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8
Q

Minor gland of the tongue
Anterior ventral
Mucous

A

Glands of Blandin and Nuhn

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9
Q

Minor gland of the tongue
Posterior lateral border
Mucous

A

Glands of Weber

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10
Q

Swelling due to ductal system being interrupted/ broken usually due to trauma

A

Mucocele

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11
Q

_____ is a mucocele of the sublingual gland that occurs above the mylohyoid muscle

A

ranula

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12
Q

_____ is a mucocele of the sublingual gland that occurs below the mylohyoid muscle

A

Plunging ranula

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13
Q

____;

Mucins get stuck in salivary duct and calcifies blocking the duct

A

Sialolith

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14
Q
\_\_\_\_ is an idiopathic and reactive pathology
Occurs on palate
Pseudoepitheliomatous hyperplasia
Sialometaplasia
Coagulative necrosis of the glands
A

Necrotizing sialometaplasia

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15
Q
Autoimmune disorder
Dry mouth and dry eyes
Primary vs. Secondary
Bilateral enlargement of parotid gland
Benign lymphoepithelial lesion (BLEL)
Mikulicz’s disease
Laboratory values
Anti-SS-A
Anti-SS-B
RF
ANA
A

Sjogren syndrome

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16
Q

Are diseases of parotid glands more often benign or malignant?

A

Even between the 2

17
Q

Are diseases of submand glands more often benign or malignant?

A

Malignant

18
Q

Are diseases of sublingual glands more often benign or malignant?

A

Mostly malignant

19
Q

Are diseases of buccal mucosa more often benign or malignant?

A

Even

20
Q

Are diseases of palate more often benign or malignant?

A

Even

21
Q

Are diseases of upper lip more often benign or malignant?

A

Benign

22
Q

Are diseases of lower lip more often benign or malignant?

A

Malignant

23
Q

Are diseases of Tongue more often benign or malignant?

A

Malignant

24
Q

Are diseases of retromolar pad more often benign or malignant?

A

Malignant

25
Q

Are diseases of floor of mouth more often benign or malignant?

A

Malignant

26
Q
The following are \_\_\_\_ salivary gland tumors:
Benign Mixed Tumor
(Pleomorphic Adenoma)
Monomorphic Adenoma
Warthin’s Tumor
(Papillary Cystadenoma Lymphomatosum)
Oncocytoma
Ductal Papillomas
A

Benign Salivary Gland Tumor

27
Q
Benign Salivary gland tumor
Most common salivary gland neoplasm
Middle-aged females
Painless slowly growing mass
Variable histology
Mixture of ductal and myoepithelial elements
Encapsulated
A

Pleomorphic adenoma

28
Q
Benign Salivary gland tumor
Upper lip
Middle-aged females
Painless slowly growing mass
Uniform pattern
Single layered cords of columnar or cuboidal epithelium
May demonstrate papillary projections
Loose connective tissue stroma, with prominent vascularity  
Thin fibrous capsule
A

Monomorphic adenoma

29
Q
Benign Salivary gland tumor
2nd most common benign salivary gland neoplasm
Parotid gland
Bilateral
Middle-aged males
Lower in blacks
Smoking
Painless slowly growing nodular mass
Oncocytic ductal epithelium 
Uniform double rows
Lymphoid aggregate 
Papillary cystic configuration
A

PAPILLARY CYSTADENOMA LYMPHOMATOSUM

WARTHIN’S TUMOR

30
Q
Benign Salivary gland tumor
Rare salivary gland neoplasm
Large epithelial cells, oncocytes
Females, 8th decade
Parotid
Painless slowly growing mass
Multifocal 
Large polyhedral cells abundant  in granular eosinophilic cytoplasm
mitochondria
Limited stroma
Thin fibrovascular septa
Lymphoid infiltrate
A

Oncocytoma

31
Q
The following are \_\_\_\_\_ Salivary gland tumors:
Mucoepidermoid Carcinoma
Adenoid Cystic Carcinoma 
Polymorphous Low-Grade Adenocarcinoma
Acinic Cell Carcinoma
Carcinoma ex-Mixed Tumor
Adenocarcinoma NOS
A

Malignant

32
Q
Malignant Salivary gland tumor
Most common malignant salivary gland neoplasm
Middle-aged females
Clinically mistaken for a mucocele 
Mucous producing cells
Epidermoid (squamous) cells
May be cystic and / or solid
A

Mucoepidermoid Carcinoma

33
Q
Malignant Salivary gland tumor
Best recognized salivary gland tumor
Middle-aged females
Slowly growing mass, painful
Myoepithelial and ductal cells
Perineural and perivascular invasion
Cribriform pattern
SWISS CHEESE
A

Adenoid Cystic Carcinoma

34
Q
Malignant Salivary gland tumor
Common malignant MINOR salivary gland neoplasm
Middle-aged females
Favors palate
Deceptive uniform appearance
Different growth patterns
Perineural and perivascular invasion
Indian filing
A

Polymorphous Low-Grade Adenocarcinoma

35
Q
Malignant Salivary gland tumor
Parotid
Serous acinar differentiation 
Middle-aged females
Slow-growing
Low-grade malignancy 
Well circumscribed 
May be infiltrative
Serous acinar cell
Abundant granular basophilic cytoplasm and a round, stained eccentric nucleus
A

Acinic Cell Carcinoma

36
Q
Malignant Salivary gland tumor
Long standing pleomorphic adenoma
Older adults
Rapid growth
Pain and ulceration
Typical benign mixed tumor
Malignant degeneration
Cellular pleomorphism
Abnormal mitotic activity
Capsular invasion
A

Carcinoma ex-Mixed Tumor

37
Q

Malignant Salivary gland tumor
Uncommon salivary gland neoplasm
Middle-aged females
Variable histology

A

Adenocarcinoma NOS

38
Q

If there is a malignancy on retromolar pad, it is likely what tumor?

A

Mucoepidermoid carcinoma