Salivary Gland Lesions Flashcards
1
Q
Chelitis Glandularis
cause
common on
leads to
risk
A
- Mucous minor salivary glands of lips are inflamed
- Usually lower lip
- Leads to swelling of lower lip
- Inflamed/dilated ducts produce mucopurulent secretions
- Premalignant condition- risk of squamous cell carcinoma
2
Q
Necrotizing Sialometaplasia
onset
what is it
mimics
tx
A
- Rapid onset
- Necrotic/ulceration of tissue due to local ischemia
- commonly local anesthetic
- Mimics squamous cell carcinoma should be biopsied
- self resolving
3
Q
Mucocele
aka 2
what is it
caused by
app 2
location
clinical symptom
A
- AKA mucous retention phenomenon, mucous extravasation phenomenon
- Severed salivary gland duct leading to mucous deposition in soft tissue
- Usually caused by trauma, bluish, dome shaped, lower lip
- History of recurrence (coming and going)
4
Q
Ranula
what is it
looks like
color
danger
A
- Mucocele on floor of mouth
- Looks like frog belly
- Usually blue
- Danger of plunging ranula
5
Q
Salivary gland tumors
Most common
overall
benign
malignant
location rule of thumb
A
- Most common overall
- Pleomorphic adenoma (can occur anywhere)
- Most common benign
- Pleomorphic adenoma
- Most common malignant
- Mucoepidermoid carcinoma
- Most common location
- Parotid gland
- Rule of thumb- the larger the gland- more likely benign
- smaller the gland-malignant
6
Q
Canalicular Adenoma
location
A
- Most commonly upper lip
- Do not confuse with mucocele which is lower lip
7
Q
Warthins Tumor
(Papillary cystadenoma lymphomatosum)
location
associated with
can occur
A
- Almost always parotid
- Associated with smoking
- Can happen bilaterally- usually not at same time
8
Q
Sjorgens Syndrome
type of disease
common in
apperance
Primary
Secondary
A
- Autoimmune disease, not infectious
- Elderly women
- Usually swelling of parotid glands bilaterally
- Primary SS= xerostomia, xerophthalmia only
- Secondary SS= primary plus a second autoimmune disease (lupus, rheumatoid arthritis)
