Salivary Gland tumours and sialadenitis

Question 1

where do salivary gland tumours presetn

Answer 1

usually in parotid gland

Question 2

are salivary glands tumours more often benign or malignant

Answer 2

benign

Question 3

bening saliavry gland syx 1

malignant salivary gland syx 2

Answer 3

benign - painless salivary mass, slow growing

Malignant
-severe pain
-facial nerve paralysis

Question 4

diagnosis and amngemtn of saliavry gland tumours

Answer 4

Dx- FNA

imaging- CT and MRI

malignant tumours- excisoina nd radiaiton

Question 5

most common type of beningn salivary fland tumour

Answer 5

pleomorphic adenomas (mixed type tumours)

*-can underfo malignat transforamtion

Question 6

define sialadenitis

Answer 6

inflammation and enlargement of one or several major salivary glands

Question 7

which salivary glands are most commonly afffectred by sialadenitis

Answer 7

parotid and submandibular

Question 8

what can cause sialadenitis

Answer 8

bacterial infection -usually staph A

-can occur if salivary flow is diminished by illness or medication or salivary stone

Question 9

syx of acute bacterial sialadenitis 2

Answer 9

rapid onset pain and swelling

Question 10

syx of chornic sialadenitis

Answer 10

intermittent and recurrent episodes of tender swelling

Question 11

what can cause autoimmune sialadenitis

Answer 11

sjorgen syndrome (can be uni or bilateral)

Question 12

IX for sialadenitis

Answer 12

culture and sensitievy of exudate from duct

FBC

facial radiographs

Question 13

what is an important complicaiton of sialadenitis to consider

Answer 13

can cause airway compormise so alwasy assess with A-E

Question 14

MX of acute sialadenitis 3

Answer 14

IV fluids

broad spec emperical ABx

steroids

Question 15

Mx of chronic sialadenitis 2

Answer 15

conservaive
-hydration , analegias, sialgogoues

surical excision of affected gland