Salivary Glands

Question 1

What are the 3 major glands?

Answer 1

1. Sublingual
2. SMG
3. Parotid

Question 2

What is sialolithiasis?

Answer 2

Stones in the salvary gland ducts

Question 3

What is the largest gland?

Answer 3

Parotid

Question 4

Where does the parotid gland lie?

Answer 4

Anterior and inferior to the ear

Question 5

What is another name for the parotid gland duct?

Answer 5

Stensen

Question 6

What gland are tumors and neoplasms most common in?

Answer 6

Parotid

Question 7

SF of parotid gland?

Answer 7

1. Homogenous
2. Echogenic compared to surrounding muscle
3. Superficial
4. Deep lobe is not well seen

Question 8

What is another name for sublingual gland duct?

Answer 8

1. Collection of 8-20 different ducts and are collectively known as “Rivinus duct”.
2. The largest of the Rivinus ducts = BARTHOLIN duct

Question 9

SF of sublingual gland?

Answer 9

1. Homogenous
2. Triangle shape
3. Echogenic compared to surrounding muscle

Question 10

Where does the SMG lie in relation to mandible?

Answer 10

Medial

Question 11

What gland produces the most saliva in the mouth?

Answer 11

SMG

Question 12

What gland does not contain lymph nodes?

Answer 12

SMG

Question 13

Which artery is known to course through the SMG?

Answer 13

Facial artery

Question 14

SF of SMG?

Answer 14

1. Homogenous
2. Echogenic
3. Superficial

Question 15

What is the most common disease of the salivary gland?

Answer 15

Sialolithiasis

Question 16

Which gland is the most common site for sialolithiasis?

Answer 16

SMG

Question 17

What population is sialolithiasis most common?

Answer 17

Males aged 30-60

Question 18

SF of sialolithiasis?

Answer 18

1. Echogenic focus
2. Possible enlarged duct
3. Possibly stone shadowing
4. Enlarged gland

Question 19

What is sialadenitis?

Answer 19

Inflammation of salivary glands

Question 20

SF of acute vs chronic sialadenitis?

Answer 20

Acute:
1. Enlarged
2. Hypoechoic
3. Hyperemic
4. Duct dilation

Chronic:
1. Atrophy
2. Hypoechoic with irregular margins

Question 21

What is the most common salivary gland tumor and location?

Answer 21

Pleomorphic adenoma in the parotid gland

Question 22

What tumor is AKA “benign mixed tumor”?

Answer 22

Pleomorphic adenoma in parotid gland

Question 23

What two risk factors are associated with pleomorphic adenoma?

Answer 23

1. Middle age
2. Prior radiation to the neck

Question 24

SF of pleomorphic adenoma?

Answer 24

1. Hypoechoic with posterior enhancement
2. Poorly encapsulated

Question 25

What gland is the most common site for Warthin's tumor?

Answer 25

Parotid gland

Question 26

Is Warthin's tumor benign or malignant?

Answer 26

Benign

Question 27

What two risk factors are associated with Warthin's tumor?

Answer 27

1. Smoking 2. Radiation

Question 28

SF of Warthin's tumor?

Answer 28

1. Ovoid, well-defined with cystic spaces 2. Hypoechoic 3. Hypervascular

Question 29

What SF are more indicative of Warthin's tumor vs pleomorphic adenoma?

Answer 29

Hypervascularity and cystic components

Question 30

In what tumor do larger lesions (>5cm) usually have more cystic components?

Answer 30

Warthin's tumor

Question 31

What is Sjogren syndrome?

Answer 31

Autoimmune disease of the exocrine glands that produce tears or saliva

Question 32

What is the 2nd most common autoimmune disease after rheumatoid arthritis?

Answer 32

Sjogren syndrome

Question 33

CP of sjogren syndrome?

Answer 33

1. xeropthalmia 2. xerostomia 3. Bilateral parotid enlargement

Question 34

Early vs late SF of sjogren syndrome?

Answer 34

Early: 1. Normal or enlarged gland 2. Hypoechoic Later: 1. Atrophic gland 2. Multi-cystic appearance

Question 35

What disease is considered to be on the IgG4-related disease spectrum?

Answer 35

Mikulicz syndrome

Question 36

Mikulicz syndrome criteria?

Answer 36

Non-specific inflammatory enlargement of at least 2 or more of the salivary or lacrimal glands

Question 37

CP of Mikulicz syndrome?

Answer 37

1. Bilaterally painless 2. Bilateral inflammation of lacrimal or salivary galnds 3. Xeropthalmia 4. Xerostomia

Question 38

Which diseases include both the salivary AND lacrimal glands?

Answer 38

1. Sjogren syndrome 2. Mikulicz syndrome

Question 39

What is the most common cause of Sjogren syndrome?

Answer 39

Autoimmune disorder