Salivary Gland Pathology

Question 1

What are considered the true epithelial lined cyst from salivary ducts?

Answer 1

Salivary Duct Cysts

Question 2

What are calcifications that develop in salivary ducts called?

Answer 2

Sialoliths

Question 3

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?

Answer 3

Necrotizing Sialometaplasia

Question 4

What is swelling and eversion of the lower lip as a results of hypertrophy and inflammation of the minor salivary glands?

Answer 4

Cheilitis Glandularis

Question 5

What are common treatments/medications for xerostomia?

Answer 5

• Sugarless candies
• Xylimelts, Dentiva, Salese, Oramoist

Question 6

What presents just the same as Sjogren’s syndrome but has to be histologically differentiated?

Answer 6

Lymphoepithelial Sialadenitis

Question 7

What are the symptoms of Sjogren’s?

Answer 7

• Dry mouth
• Dry eyes
• Autoimmune disease affecting salivary and lacrimal glands

Question 8

What 3 tests need to be done to diagnose one with sjogren’s?

Answer 8

1. +anti SSA and/or SSB
2. Focal lymphocytic sialadenitis with focus score of >1/4mm
3. Ocular staining score >3

Question 9

What do you have to monitor in pts with sjogren’s and why?

Answer 9

• Lymphoma
  
  • Increased risk for lymphoma (40x)
  • Marginal zone lymphoma MALT

Question 10

What other syndromes are related to Sarcoidosis?

Answer 10

• Lofgren’s
• Heerfordt’s

Question 11

What does sarcoidosis affect?

Answer 11

• Lungs
• Lymph nodes
• Skin
• Eyes
• Salivary glands

Question 12

What is characterized by flushing, sweating, warmth in preauricular and temporal skin during chewing?

Answer 12

Frey Syndrome (

Question 13

What fibers are associated with Frey Syndrome?

Answer 13

• Sensory
• Sympathetics - sweat gland
• Parasympathetics - parotid gland

Question 14

Where are the majority of salivary tumors found?

Answer 14

• Major glands - 79%
• Parotid - 69%

Question 15

Where would a salivary gland have the highest rate of malignancy?

Answer 15

Sublingual gland - 70%

Question 16

Tumors found here are more likely benign or malignant?

1. Upper lip
2. Lower lip
3. Tongue
4. Retromolar pad

Answer 16

1. Benign - 78%
2. Malignant - 60%
3. Malignant - 86%
4. Malignant - 90%

Question 17

Where are minor gland neoplasms most commonly found?

Answer 17

In the posterior lateral hard palate

Question 18

What is the most common neoplasm?

Answer 18

Pleomorphic adenoma (benign)

Question 19

What is the most common malignant neoplasm?

Answer 19

Mucoepidermoid Carcinoma

Question 20

What is the most common salivary neoplasm?

Answer 20

Pleomorphic Adenoma

Question 21

What is the most common tumor in the upper lip?

Answer 21

Canalicular Adenoma

Question 22

What tumoe is almost exclusively found in the parotid gland, and is the 2nd most common benign parotid tumor?

Answer 22

Warthin Tumor

Question 23

What is the most common salivary neoplasm and also themost common malignant salivary gland tumor in children?

Answer 23

Mucoepidermoid Carcinoma

Question 24

What is notorious for is perineural invasion which grows away from the main tumor mass and results in recurrence locally/?

Answer 24

Adenoid Cystic Carcinoma