Salivary gland tumor

Question 1

What is sialadenitis?

Answer 1

Inflammation of salivary glands

Question 2

What is the most common viral cause of sialadenitis?

Answer 2

Mumps

Question 3

What is the most common bacterial cause of sialadenitis?

Answer 3

Staph aureus

Question 4

What is cheilitis glandularis?

Answer 4

Inflammation of minor salivary glands on the lower lip

Question 5

What is a mucocele?

Answer 5

Rupture of a minor salivary gland duct spilling mucus into soft tissue

Question 6

What typically causes a mucocele?

Answer 6

Local trauma

Question 7

What is a ranula?

Answer 7

A mucocele in the floor of the mouth

Question 8

Where is an oral ranula located?

Answer 8

Superior to the mylohyoid muscle

Question 9

Where is a cervical ranula located?

Answer 9

Below the mylohyoid muscle

Question 10

What causes a superficial mucocele?

Answer 10

Mucosal inflammation

Question 11

What conditions are associated with superficial mucoceles?

Answer 11

Xerostomia, lichen planus, or GVHD

Question 12

What is a salivary duct cyst?

Answer 12

A true cyst caused by blockage of a salivary duct, leading to dilation

Question 13

What is sialolithiasis?

Answer 13

A calcified structure within the salivary duct system

Question 14

What is the etiology of sialolithiasis?

Answer 14

Deposition of calcium around a nidus of debris

Question 15

What is the most common location for sialolithiasis?

Answer 15

Submandibular gland duct

Question 16

What are the treatments for sialolithiasis?

Answer 16

Can be passed, lithotripsy (shock waves), or surgical removal

Question 17

What is sialadenosis?

Answer 17

Non-inflammatory, non-neoplastic salivary gland enlargement

Question 18

Which gland is most often affected by sialadenosis?

Answer 18

Parotid gland

Question 19

What causes sialadenosis?

Answer 19

Peripheral neuropathy of the autonomic nerve supply

Question 20

What is the disease process of necrotizing sialometaplasia?

Answer 20

Ischemia, infarction, necrosis, ulcer, sloughing of necrotic tissue, and healing

Question 21

What are the etiologies of necrotizing sialometaplasia?

Answer 21

Injury, ill-fitting denture, or adjacent tumor

Question 22

Where is necrotizing sialometaplasia commonly found?

Answer 22

Posterior palate

Question 23

What is the treatment for necrotizing sialometaplasia?

Answer 23

No treatment needed

Question 24

What type of disease is Sjogren Syndrome?

Answer 24

Autoimmune disease affecting salivary and lacrimal glands

Question 25

What are the key features of Sjogren Syndrome?

Answer 25

Keratoconjunctivitis, salivary gland swelling, and Raynaud phenomenon

Question 26

What are the oral manifestations of Sjogren Syndrome?

Answer 26

Atrophy of dorsal tongue, cervical caries, and candidiasis

Question 27

How is Sjogren Syndrome diagnosed?

Answer 27

Schirmer tear test, rose Bengal staining, autoantibodies SS-A and SS-B, and labial salivary gland biopsy

Question 28

How is a labial salivary gland biopsy evaluated in Sjogren's diagnosis?

Answer 28

By focus score

Question 29

What constitutes a focus in a labial salivary gland biopsy?

Answer 29

More than 50 mononuclear cells in aggregate

Question 30

What focus score is diagnostic for Sjogren’s?

Answer 30

Greater than 1 (number of foci in 4 square millimeter area of salivary tissue)

Question 31

How is Sjogren Syndrome managed?

Answer 31

Xerostomia treatment and topical fluoride

Question 32

What condition is associated with Sjogren Syndrome?

Answer 32

Lymphoma

Question 33

What is the most common site for salivary gland tumors?

Answer 33

Parotid

Question 34

Is there a gender predilection for salivary gland tumors?

Answer 34

Female predilection

Question 35

What symptom is suggestive of malignancy in salivary gland tumors?

Answer 35

Paresthesia

Question 36

What is the most common salivary gland neoplasm?

Answer 36

Pleomorphic adenoma

Question 37

What are the histopathologic features of pleomorphic adenoma?

Answer 37

Well circumscribed and encapsulated

Question 38

What is the second most common benign parotid tumor?

Answer 38

Warthin tumor

Question 39

What is a strong association with Warthin tumor?

Answer 39

Smoking

Question 40

Is there a gender predilection for Warthin tumor?

Answer 40

Male predilection

Question 41

Which salivary gland tumor is most likely to appear bilaterally?

Answer 41

Warthin tumor

Question 42

Where does canalicular adenoma occur?

Answer 42

Only in minor salivary glands

Question 43

Where is canalicular adenoma often found?

Answer 43

Upper lip (75%)

Question 44

Is canalicular adenoma often multifocal?

Answer 44

Infrequently multifocal

Question 45

What is the most common malignant salivary neoplasm in adults and children?

Answer 45

Mucoepidermoid carcinoma

Question 46

What is the second most common salivary tumor?

Answer 46

Mucoepidermoid carcinoma

Question 47

Where is mucoepidermoid carcinoma often found?

Answer 47

Parotid

Question 48

What is the second most common malignancy of salivary glands?

Answer 48

Polymorphous adenocarcinoma

Question 49

Where does polymorphous adenocarcinoma predominantly occur?

Answer 49

Minor glands

Question 50

Where is adenoid cystic carcinoma commonly found?

Answer 50

50% in minor salivary glands

Question 51

What symptom is commonly associated with adenoid cystic carcinoma and why?

Answer 51

Pain, due to perineural invasion

Question 52

What is Acinic Cell Carcinoma?

Answer 52

Cells with serous acinar differentiation

Question 53

What is Sialoblastoma?

Answer 53

Rare primitive basaloid salivary gland tumor of infancy