Head & Neck

Question 1

Remarks on leukoplakia

Answer 1

Hyperplasia - 1-3% chance of progression to malignancy
Dysplasia: 10-30%
*ulceration and erhthroplasia are suggestive of possible malignancy
*in the absence of suspppected malignancy, conservative measures are used for 1 month. Any lesions that progress, persist, or recur should be considered for EXCISIONAL BIOPSY SPECIMEN.

Question 2

Findings in plummer-vinson syndrome

Answer 2

Achlorydia
IDA
Mucosal atrophy of
-mouth
-pharynz
-esophagus

Question 3

Remarks on oral malignancy

Answer 3

Assoc’d with

• plummer-vinson syndrome
• chronic infeciton with syphilis
• immunocompromised status (30-fold increase with renal transplant)

Question 4

Remarks on tongue tuumors

Answer 4

Tumors are most commonly seen on the lateral and ventral surfaces
Surgical treatment of small (T1-T2) primary tumors is wide local excision with either primary closure or healing by secondary intention

Question 5

Branchial cleft cysts, if enlarged, should be removed because of

Answer 5

Prone to becoming secondarily infected, producing enlargement, cellulitis, and neck abscess that requires operative drainage

Question 6

Remarks on branchial cleft cyysts

Answer 6

First: associated intimately with external auditory canal (EAC) and the parotid gland
2nd, 3rd: along the anterior border of the SCM and can produce drainage via a sinus tract to the neck skin

Question 7

Remarks on salivary gland tumors

Answer 7

Replresent <2% of all head and neck neoplasms
~85% arise within the parotid gland
50% of tumors arising in the submandibular and sublinguial glands are malignant
Minor salivary gland - 75% malignant
Dx: MRI

Question 8

Benign epithelial tumors of salivary gland

Answer 8

Pleomorphic adenoma
Monomorphic adenoma
WARTHIN TUMOR 📌
ONCOCYTOMA 📌
Sebaceous neoplasm

Question 9

Remarks on warthin tumor

Answer 9

“Papillary cystadenoma lymphomatosum”
2nd most common benign tumor
m/c site: parotied gland
Has a double-layer of oncocytic epithelial cells (eosinophilic, granular cytoplasm and large nuclei with prominent nucleoli)
SMOKING is a notable risk factor
Bilateral in 20% of cases

Question 10

Most common primary malignant tumor of salivary glands

Answer 10

Mucoepidermoid carcinoma