Salivary Glands

Question 1

Feared complication of mumps

besides death

Answer 1

sterility

orchitis, especially in teenagers

Question 2

Mumps serum finding

looks like pancreatitis

Answer 2

elevated amylase
likely due to parotid inflammation
may be due to mumps-associated pancreatitis

Question 3

Sialadentitis usually due to

Answer 3

sialolithiasis

leading to S. aureus infection

Question 4

Pleomorphic adenoma

tissue components

Answer 4

epithelium and stromal tissue

Question 5

Carcinomas vs adenomas in parotid gland

Answer 5

carcinomas invade local tissue
ie facial nerve tissue
leads to facial nerve palsy

Question 6

Warthin tumor

classic description

Answer 6

benign cystic tumor with lymph tissue

ie has germinal centers

Question 7

In a patient with 10 yr Hx of parotid mass

one day has facial nerve problems

Answer 7

was pleomorphic adenoma
now as facial nerve involvement
likely transformed into carcinoma that is now invading the facial nerve

Question 8

Mucoepidermoid carcinoma

Answer 8

carcinoma, usually parotid

mucinous and squamous cells