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otolaryngology > Salivary Gland Diseases > Flashcards

Salivary Gland Diseases Flashcards

1
Q

Where is the most common site for salivary gland tumours

A

Parotid

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2
Q

Name 2 benign tumours of the salivary gland

A

Pleomorphic adenoma
Warthins tumour

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3
Q

What is the most common benign salivary gland tumour

A

Pleomorphic adenoma

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4
Q

Who usually presents with Pleomorphic adenoma

A

Usually females 20-60

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5
Q

What is known to be linked with Pleomorphic adenoma

A

Radiation

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6
Q

Macroscopic appearance of Pleomorphic adenoma

A

Will circumscribed, light tan to grey

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7
Q

Microscopic appearance of Pleomorphic adenoma

A

Highly variable epithelial and myoepithelial cells in chondromyxoid stroma

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8
Q

Who usually presents with warthins tumour

A

Males over 50

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9
Q

What has warthins tumour got a strong association with

A

Smoking

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10
Q

Macroscopic appearance of warthins tumour

A

Often bilateral, well circumscribed, light grey, cystic

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11
Q

Microscopic appearance of warthins tumour

A

Bilayers of oncocytic epithelium with lymphoid stroma

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12
Q

What is the most common malignant salivary gland tumour worldwide

A

Mucoepidermoid carcinoma

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13
Q

What is mucoepidermoid carcinoma associated with

A

MECT1-MAML2 fusion

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14
Q

What is the most common malignant salivary gland tumour in the UK

A

Adenoid cystic carcinoma

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15
Q

What is the most common malignant tumour of the palate

A

Adenoids cystic carcinoma

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16
Q

What symptom is adenoid cystic carcinoma associated with and why

A

Frequent perineural invasion: associated pain or loss of function

17
Q

Who usually presents with adenoids cystic carcinoma

A

Patients over 40

18
Q

What does adenoid cystic carcinoma look like macroscopically

A

Greyish/white infiltrative mass

19
Q

Microscopic appearance of adenoid cystic carcinoma

A

Small uniform cells with little cytoplasm in solid, tubular or cribiform plate

20
Q

How may a salivary gland tumour present

A

Mass in the gland which may have been present a long time ago

21
Q

What symptoms is associated with malignant parotid tumours

A

Signs of facial nerve damage

22
Q

Management of salivary gland tumours

A

Resection

23
Q

What is at risk during a parotidectomy

A

Facial nerve
Retromandibular vein
External carotid artery

24
Q

What is sialadenitis

A

Salivary gland infection

25
Q

What is another name for viral sialadenitis

A

Mumps

26
Q

What is sailolithiasis

A

Salivary gland stones

otolaryngology (18 decks)

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