Salivary Gland Pathology Flashcards
What are considered the true epithelial lined cyst from salivary ducts?
Salivary Duct Cysts
What are calcifications that develop in salivary ducts called?
Sialoliths
What condition presents with locally destructive inflammatory condition of the salivary glands due to infarction from blockage of blood flow to the gland, that closely mimics malignancy?
Necrotizing Sialometaplasia
What is swelling and eversion of the lower lip as a results of hypertrophy and inflammation of the minor salivary glands?
Cheilitis Glandularis
What are common treatments/medications for xerostomia?
- Sugarless candies
- Xylimelts, Dentiva, Salese, Oramoist
What presents just the same as Sjogren’s syndrome but has to be histologically differentiated?
Lymphoepithelial Sialadenitis
What are the symptoms of Sjogren’s?
- Dry mouth
- Dry eyes
- Autoimmune disease affecting salivary and lacrimal glands
What 3 tests need to be done to diagnose one with sjogren’s?
- +anti SSA and/or SSB
- Focal lymphocytic sialadenitis with focus score of >1/4mm
- Ocular staining score >3
What do you have to monitor in pts with sjogren’s and why?
- Lymphoma
- Increased risk for lymphoma (40x)
- Marginal zone lymphoma MALT
What other syndromes are related to Sarcoidosis?
- Lofgren’s
- Heerfordt’s
What does sarcoidosis affect?
- Lungs
- Lymph nodes
- Skin
- Eyes
- Salivary glands
What is characterized by flushing, sweating, warmth in preauricular and temporal skin during chewing?
Frey Syndrome (
What fibers are associated with Frey Syndrome?
- Sensory
- Sympathetics - sweat gland
- Parasympathetics - parotid gland
Where are the majority of salivary tumors found?
- Major glands - 79%
- Parotid - 69%
Where would a salivary gland have the highest rate of malignancy?
Sublingual gland - 70%
Tumors found here are more likely benign or malignant?
- Upper lip
- Lower lip
- Tongue
- Retromolar pad
- Benign - 78%
- Malignant - 60%
- Malignant - 86%
- Malignant - 90%
Where are minor gland neoplasms most commonly found?
In the posterior lateral hard palate
What is the most common neoplasm?
Pleomorphic adenoma (benign)
What is the most common malignant neoplasm?
Mucoepidermoid Carcinoma
What is the most common salivary neoplasm?
Pleomorphic Adenoma
What is the most common tumor in the upper lip?
Canalicular Adenoma
What tumoe is almost exclusively found in the parotid gland, and is the 2nd most common benign parotid tumor?
Warthin Tumor
What is the most common salivary neoplasm and also themost common malignant salivary gland tumor in children?
Mucoepidermoid Carcinoma
What is notorious for is perineural invasion which grows away from the main tumor mass and results in recurrence locally/?
Adenoid Cystic Carcinoma
