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ORAL PATHOLOGY! > Exam 6-Salivary Gland Pathology-Non-neoplastic > Flashcards

Exam 6-Salivary Gland Pathology-Non-neoplastic Flashcards

1
Q

BUST OUT THE PEN AND PAPER: What are the 8 non-neoplastic salivary gland pathology conditions????

A

1.Stafne defect 2.Sial-adeno-sis 3. mucocele/ranula 4.salivary duct cyst 5.sialolith/sialolithiasis 6.Sial-Aden-itis 7.Adenomatid Hyperplasia of minor glands 8.necrotizing sialometaplasia

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2
Q

A developmental lingual mandibular salivary gland depression is also known as a WHAT 2 terms??

A

1.static bone cavity 2.STAFNE’s bone cavity

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3
Q

Stafne’s bone cavity traditionally thought to be developmental inclusion of _________ salivary gland along lingual cortex of the mandible

A

submandibular

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4
Q

Are there any signs or symptoms involved in a stafne’s bone cavity

A

nope

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5
Q

Stafne’s bone cavity is a Radio________, often CORITCATED or NON-CORTICATED???, ______ the inferior alveolar canal and roughly from angle to midbody (Rarely more ______)

A

lucency..corticated…BELOW….anterior

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6
Q

What is the treatment for a Stafne’s bone cavity?

A

no treatment (recognition only)

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7
Q

What is the term used for a “mucous extravasation phenomenon”?

A

a mucocele

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8
Q

A mucocele is defined as a traumatic severance of salivary _____ resulting in mucus extravasation into ________ tissue, NOT ______ lined

A

DUCT…connective…epithelial

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9
Q

What are the 4 most affected sites of a mucocele? What is the #1 site?

A

1.lower lip (#1) 2.lateral tongue 3.ant ventral tongue 4.cheek

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10
Q

Who are the two most age groups most likely to have a mucocele?

A

kids and young adults

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11
Q

How long does it take for a mucocele to develop? Are the soft or hard?

A

develop rapidly and they are soft and compressible

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12
Q

What is the name for a mucocele on the floor of the mouth?

A

a RANULA (latin for frog’s belly)

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13
Q

Where on the floor of the mouth is a ranula located?

A

lateral to the midline

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14
Q

Which type of ranula occurs when spilled mucin dissects through the mylohyoid muscle, producing swelling in neck?

A

a PLUNGING (cervical) ranula

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15
Q

In a plunging (cervical) ranula spilled ______ dissects through the _______ muscle, producing swelling in neck

A

mucin…mylohyoid

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16
Q

Belive it or not, an Antral pseudocyst is considered a ______

A

mucocele

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17
Q

What is a symmetrical DOME SHAPED soft tissue opacity in the floor of the antrum?

A

antral pseudocyst

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18
Q

What is the treatment for an antral pseudocyst?

A

no tx necessary

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19
Q

What is another term for a salivary duct cyst?

A

mucus retention cyst

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20
Q

A salivary duct cyst is a TRUE _________ lined cyst from salivary ____

A

epithelial…duct

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21
Q

As opposed to a mucocele, a salivary duct cyst (mucus retention cyst) happens in what age group?

A

adults (mucocele in kids/young adults)

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22
Q

A salivary duct cyst occurs in ______ and _____ glands and there can be multiple of them

A

major and minor

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23
Q

What 5 areas of the oral cavity are salivary duct cysts most common? What is the single most common location?

A

1.palate (most common) 2.parotid gland 3.FOM 4.buccal mucosa 5.lips

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24
Q

What color is associated with a salivary duct cyst? What is the feel of it?

A

BLUISH….soft fluctuant swelling

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25
Q

What is the treatment for a salivary duct cyst?

A

surgical excision

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26
Q

What is it called when calcifications develop in a salivary duct?

A

Siaolith (sialolithiasis) (salivary stones)

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27
Q

What is the cause of a sialolith(sialothiasis)?

A

uncertain

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28
Q

Where does a sialolith occur MOST OFTEN? What 3 other location do they also occur?

A

most often in the submandibular gland…1.minor glands 2.upper lip 3.buccal mucosa

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29
Q

What particular time does pain and swelling from a sialoloth typically occur?

A

meal time!

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30
Q

What are the three ways a sialolith can be viewed?

A

1.sialography 2.ultrasound 3.CT

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31
Q

Besides surgery, what are 3 unique treatments for a sialolith?

A

massage, fluid intake, heat

32
Q

What is the virus known to cause sialdenITIS?

A

mumps (paramyxovirus)

33
Q

If sialadenitis was caused by bacterial origin, what is the term used for the type of infection? What are usually the two main culprits?

A

retrograde infection..staph or strep

34
Q

PEN AND PAPER: What are the 6 ways someone can get sialadenITIS?

A

1.Obstruction of the duct 2.sjogren’s syndrome 3.sarcoidosis/granulomatous 4.radiation 5.surgery (anathesia mumps) 6.allergic reaction

35
Q

What type of virus is a mumps again? What is their primary target?

A

paramyxovirus…salivary glands

36
Q

WTF?? Are you ready for this one?! What are the three complications of mumps? (3 -itis’ i’ve never heard of)…

A

1.epididym-oor-ch-itis 2.oo-phor-itis 3.mast-itis

37
Q

What is the condition associated with gland swelling following general anesthesia?

A

anesthesia mumps

38
Q

Anesthesia mumps is a ________ major gland swelling following general anesthesia

A

Self-limiting

39
Q

Where is BY FAR the most common place for sialadenitis to occur?

A

the parotid

40
Q

Whaty kind of exudate is often seen in sialadenitis? ANY TIME you have this you should think ______ is the culprit…

A

purulent…BACTERIA=pus

41
Q

What is a LONG standing chronic inflammation of submandibular gland producing significant swelling like a neoplasm?

A

KUTTNER tumor

42
Q

A KUTTNER tumor is a LONG standing chronic inflammation of _________ gland producing significant SWELLING like a neoplasm and it is categorized as a _______

A

submandibular…sialadenitis

43
Q

One form of sialadenitis: _______ necrotizing sialadenitis-subset with RAPID onset PALATAL swelling in TEENS or young adults, possibly VIRAL

A

Subacute

44
Q

One form of sialadenitis: SUBACUTE necrotizing sialadenitis-subset with RAPID onset _______ swelling in TEENS or young adults, possibly ______

A

PALATAL…VIRAL

45
Q

What is a NON-inflammatory asymptomatic salivary gland enlargement?

A

SialadenOSIS (sialOSIS)

46
Q

Where is sialadenosis typically found? Which anatomical structure is HYPERtrophied?

A

Parotid…the acini

47
Q

What are the three categories of underlying systemic conditions that can lead to sialadenosis? What is an example of each category?

A

1.Endocrine: DM 2.Malnutrition (EtOH, anorexia) 3.HTN drugs

48
Q

Where do we most frequently see Adenomatoid hyperplasia of the minor salivary glands?

A

hard or soft palate

49
Q

Adenomatoid Hyperplasia of the Minor Salivary Glands are LOCAL…are they sessile or moveable??? painful or painless???

A

sessile and painless

50
Q

Do you have to biopsy a Adenomatoid Hyperplasia of the Minor Salivary Glands?

A

yep, helps rule out a neoplasm

51
Q

What is the pathogenesis of an Adenomatoid Hyperplasia of the Minor Salivary Glands?

A

unknown

52
Q

What is a locally destructive inflammatory condition of the salivary glands due to INFARCTION from blockage of blood flow to gland?

A

Necrotizing Sialometaplasia

53
Q

A nectotizing sialometaplasia is a locally destructive inflammatory condition of the salivary glands due to _______ from blockage of blood flow to gland

A

INFARCTION

54
Q

Predisposing factors for a necrotizing sialometaplasia: traumatic injuries, dental ________, ill-fitting _______, upper respiratory infections, adjacent tumors, previous surgery

A

injections…dentures

55
Q

Where do necrotizing sialometaplasias typically occur? Are they usually bilateral or unilateral?

A

palate…unilateral

56
Q

The PROGRESSION of necrotizing sialometaplasia: ______ developing swelling, painful…ulceration…necrotic tissue sloughs out…heal in HOW LONG??

A

RAPIDLY….5-6 weeks

57
Q

Necrotizing sialometaplasia mimics malignancy clinically AND histologically…WHAT is usually the differentiating factor?

A

the ACUTE/rapid onset

58
Q

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

A

Chelitis Glandularis

59
Q

Where does Chelitis Glandularis occur?

A

lower lip

60
Q

Palpation of Chelitis Glandularis often produces _______ from ducts

A

suppuration

61
Q

The cause of CHELITIS GLANDULARIS most likely due to chronic ________ and retrograde ______

A

sun damage…infection

62
Q

Histo of Chelitis Glandularis: chronic _______ and ______ dilation

A

sialadenitis…ductal

63
Q

What is the CONTROVERSY surrounding Chelitis Glandularis?

A

if it is PRE-malignant or not (sun damage predisposes chelitis glandularis AND malignancy, but one does not cause the other)

64
Q

Although uncommon, sialorrhea can be caused by LOCAL irritations like _______ and ______

A

apthous ulcers and ill fitting dentures

65
Q

Sialorrhea can also be caused by which common GI condition that has secondary effects on the mouth?

A

GERD

66
Q

Becareful of stray dogs and bats because ______ can give you sialorrhea…also be careful of amalgam because _______ can do it too

A

rabies…heavy metal poisoning

67
Q

What two types of drugs can yield sialorrhea?

A

1.lithium 2.cholinergic agonists

68
Q

Random-there is a form of sialorrhea called Idiopathic _______ sialorrhea and I have no idea what that means

A

paroxysmal

69
Q

What are two exampls of neurological disorders that can cause sialorrhea?

A

down syndrome and cerebral palsy

70
Q

To treat sialorrhea you can Rx anti-cholenergic meds like ________, but not to what age group?

A

Scop-ol-amine…not for children

71
Q

What are the two “heroic” surgeries that can be done to treat sialorrhea?

A

1.relocate salivary ducts to tonsilar fossa 2.a tympanic neurectomy

72
Q

Interesting…Xerostomia is defined as ________ sensation of a dry mouth

A

SUBJECTIVE

73
Q

Xerostomia is common in order adults over age 60…what %?

A

25%

74
Q

What are three of the most common complications of xerostomia?

A

candidiasis, cervical/root caries, alteration of taste

75
Q

Common causes for Xerostomia: what are the three conditions that can cause Xerostomia, but are thought to be minor contributors?

A

DM, scardosis, GVDH

76
Q

BUST OUT THE PEN AND PAPER…WHAT are the 7 common causes for Xerostomia?

A

1.Aging 2.Meds 3.Caffine/EtOH 4.Anxitey 5.Smoking 6.Radiation therapy 7.Sjogrens Syndrome

77
Q

What are the two Rx meds for Xerostomia?

A

1.pilocarpine (Salagen) 2.cev-im-el-ine (Evo-Xac)

ORAL PATHOLOGY! (40 decks)

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