Salivary Gland Pathology Flashcards
Label the following structures of the salivary gland unit:
A- Stratified squamous epithelium
B- Extralobular duct
C- Striated duct
D- Intercalated duct
E- Acinar cells
F- Myoepithelial cells
Label the following structures of the salivary gland unit:
A- Acinus
B- Intercalated duct
C- Striated duct
D- Excretory duct
List the MAJOR salivary glands: (3)
- Parotid
- Submandibular
- Sublingual
List the locations of the MINOR salivary glands: (7)
- Palate
- Buccal mucosa
- Tongue
- Floor of mouth
- Labial mucosa
- Retromolar pad
- Oropharynx
What can be seen in the following histological slide?
Parotid gland
What can be seen in the following histological slide?
Parotid gland- pure serous
The parotid gland is a _____ gland
pure serous
What can be seen in the following histological slide? What are the dark staining purple areas?
Serous acini- zymogen granules
What can be seen in the following histological slide?
Submandibular gland
The submandibular gland is a _____ gland
seromucous
What can be seen in the following histological slide?
Sublingual gland
The sublingual gland is a _____ gland
mucoserous
What can be seen in the following histological slide?
sublingual gland
List the distribution of the following minor salivary glands:
a) Palate
b) Tongue
c) Lips
d) Cheeks
e) Retromolar
a) Palate: 60%
b) Tongue: 10%
c) Lips: 10%
d) Cheeks: 10%
e) Retromolar: 10%
Minors salivary glands of the tongue include: (3)
- Glands of Von Ebner
- Glands of Blandin & Nuhn
- Glands of Weber
- Glands of Von Ebenr
- Glands of Blandin & Nuhn
- Glands of Weber
These are all:
Minor salivary glands of the tongue
List the location & type of minor salivary of the tongue:
Glands of Von Ebner
Location: circumvallate papillae
Type: Serous
List the location & type of minor salivary of the tongue:
Glands of Blandin & Nuhn
Location: Anterior ventral
Type: Mucous
List the location & type of minor salivary of the tongue:
Glands of Weber
Location: Posterior lateral border
Type: Mucous
What minor salivary gland is seen below?
Location?
Type?
Glands of Von Ebner
Circumvalate papillae
Serous
What minor salivary gland is seen below?
Location?
Type?
Glands of Weber
Foliate papillae
Mucous
What minor salivary gland is seen below?
Location?
Type?
Glands of Blandin & Nuhn
Anterior ventral
Mucous
A mucous extravasation reaction =
mucocele
Diagnose the following image:
mucocele
Diagnose the following image:
mucocele
The following histological and clinical images show:
mucous extravasation reaction (mucocele)
The following histological image shows:
mucocele
The following histological and clinical images show:
mucocele
Diagnose the following image:
mucocele
Diagnose the following image:
Ranula
When mucin dissects through mylohyoid muscle presenting as a neck mass:
Ranula
Diagnose the following image:
Ranula
What is represented by this schematic?
Sialolith
Diagnose the following image:
Sialolith
What structures are involved in a sialolith?
Submandibular gland (deep lobe) & Wharton’s duct
Diagnose the following images:
Sialolith
Diagnose the following radiographic image:
Sialolith
Diagnose the following image:
Sialolith
What can be seen in the following histological image?
Sialolith
Diagnose the following image:
Necrotizing sialometaplasia
Diagnose the following image:
Necrotizing sialometaplasia
Diagnose the following image:
Necrotizing sialometaplasia
- autoimmune disorder
-dry mouth & dry eyes - primary vs. secondary
- bilateral enlargement of parotid gland
Sjogrens syndrome
What are some syndromes one may experience with Sjogrens syndrome:
- dry mouth & eyes
- B/L enlargement of parotid gland
What are some characteristic lab values of Sjogren syndrome?
- anti-SS-A
- anti-ss-B
- RF
- ANA
If a patient presents with benign lymphoepithelial lesion (BLEL) you may suspect:
Sjogrens syndrome
An autoimmune disease considered a form of Sjogrens syndrome in which the salivary and lacrimal glands become enlarged:
Mikulicz’s disease
-BLEL
-Mikulicz’s
These are both associated with:
Sjogren’s syndrome
Diagnose the following image:
Sjogren’s syndrome
Diagnose the following image:
Sjogren’s syndrome
The smalDiagnose the following images:
Sjögren’s syndrome
Describe the tumor distribution of the major salivary glands:
A) Parotid gland
B) Submandibular
C) Sublingual
A) Parotid gland
benign 50%
malignant 50%
B) Submandibular
benign 40%
malignant 60%
C) Sublingual
benign 20%
malignant 80%
Describe the tumor distribution of the minor salivary glands in the following areas:
A) Palate
B) Buccal mucosa
C) Upper labial mucosa
D) Lower labial mucosa
E) Tongue
F) Floor of mouth
G) Retromolar pad
A) Palate
b: 50%
m: 50%
B) Buccal mucosa
b: 50%
m: 50%
C) Upper labial mucosa
b: 80%
m: 20%
D) Lower labial mucosa
b: 15%
m: 85%
E) Tongue
- up to 90% malignant
F) Floor of mouth
- up to 90% malignant
G) Retromolar pad
- up to 90% malignant
Describe the following for a BENIGN salivary gland neoplasm:
growth rate:
induration:
symptomatology:
ulceration:
growth rate: SLOW GROWTH
induration: MOVABLE
symptomatology: ASYMPTOMATIC
ulceration: INTACT MUCOSA