ch. 11

Question 1

What type of fluid makes up the parotid gland

Answer 1

Serous

Question 2

what type of fluid makes up the submandibular gland?

Answer 2

Mostly serous

Question 3

what type of fluid makes up the sublingual gland?

Answer 3

Mucous

Question 4

What is a mucocele? What causes it

Answer 4

Bubble of mucin in the soft tissue because of trauma (rupture)

Question 5

Where is a mucocele most common?

Answer 5

lower lip (from trauma)

Question 6

If you get a mucocele in the upper lip what is it most likely to be?

Answer 6

Tumor

Question 7

If you get a mucucele in the retromolar pad what is it most likely?

Answer 7

Mucoepidermoid Carcinoma

Question 8

What is a mucocele on the floor of the mouth?

Answer 8

A Ranula (sublingual gland rupture: can look like a frog throat)

Question 9

What is a salivary duct cyst? What color?

Answer 9

epithelium lined cavity that comes from salivary glands

Bluish

Question 10

What is a sialolith?

Answer 10

A calcification in the salivary duct

Question 11

What duct most likely gets a sialolith? Why this duct?

Answer 11

submandibular (long ducts)

Question 12

What is sialadenitis? What’s the most likely cause?

Answer 12

Inflammation of the salivary glands,

Mumps or bacteria

Question 13

What is sialadenosis?

What can cause it?

Answer 13

non-inflammatory asymptomatic salivary gland enlargement:

Endocrine disorders, alcoholism, malnutrition, drugs

Question 14

What is necrotizing sialometaplasia?

What causes it? What does it look like?

Answer 14

local destruction of salivary glands with inflammation
Dental injection, trauma
Malignant tumor (really gross)

Question 15

What is cheilitis glandularis? What does it look like?

Answer 15

Swelling of the lower lip because of hypertrophy of salivary gland:

“weeping” blisters on the lip

Question 16

What is sialorrhea?

Answer 16

drooling

Question 17

What’s another name for sjogrens syndrome?

Answer 17

sicca syndrome

Question 18

What type of disease is sjogrens syndrome? sicca syndrome

What parts of the body are effected by it?

Answer 18

autoimmune disease of the lacrimal and salivary glands: dry mouth, dry eyes

Question 19

What does primary Sjogrens syndrome mean?

Answer 19

No other autoimmune disease present

Question 20

What is a sjogren’s syndrome patient at risk for (other than xerostomia)?

Answer 20

Lymphoma

Question 21

What does salivary neoplasm mean?

Answer 21

Salivary gland tumors

Question 22

Where is the most common site in the mouth for minor salivary gland neoplasms?

Answer 22

palate

Question 23

Where in the mouth would you consider a salivary gland neoplasm to be malignant for sure?

Answer 23

Sublingual neoplasm

Question 24

What’s the most common benign neoplasm’s name?

Answer 24

Pleomorphic adenoma

Question 25

What's the most common malignant neoplasm's name?

Answer 25

Mucoepidermoid carcinoma

Question 26

What's a canalicular adenoma? What color? Where's it mainly found? Benign or malignant?

Answer 26

Slow growing, painless mass, blue or normal color upper Lips Benign

Question 27

Where's a pleomorphic adenoma most common? And how do you see it

Answer 27

Palate and it shows on the cheek by the parotid

Question 28

What's a warthins tumor? How common is it (1st or 2nd)? Another name for it? What person is at more risk for it? Benign or Malignant?

Answer 28

Tumor in the parotid gland on both sides (second most common benign parotid tumor) Papillary cystadenoma Lymphomatosum Smokers Benign

Question 29

What's the first and second most common benign neoplasm?

Answer 29

1. Pleomorphic adenoma | 2. Warthins tumor

Question 30

What's a mucoepidermoid carcinoma? Where

Answer 30

``` the most common malignant salivary gland tumor in children Mostly parotid (then palate) ```

Question 31

What's the most common malignant salivary gland tumor in children and adults?

Answer 31

Mucoepidermoid carcinoma

Question 32

What is intraosseous mucoepidermoid carcinoma?

Answer 32

Muco ep in bone (because of entrapped salivary gland tissue)

Question 33

What's an acinic cell adenocarcinoma?

Answer 33

malignant tumor with serous Acinar cell origin

Question 34

What's the most common malignant salivary gland tumor in submandibular gland?

Answer 34

Adenoid cystic carcinoma

Question 35

What does adenoid cystic carcinoma look like histologically?

Answer 35

Swiss cheese holes

Question 36

What tumor is most likely to grow around nerves?

Answer 36

Adenoid cystic carcinoma

Question 37

If we see a picture of a bump on the palate what could the clinical pathology be?

Answer 37

Salivary gland neoplasm

Question 38

Where is the most common location for Polymorphous low-grade adenocarcinoma?

Answer 38

Palate (which is minor salivary glands)

Question 39

What is a carcinosarcoma?

Answer 39

Epithelial (carcinoma) and Mesenchymal (sarcoma) origin tumor

Question 40

What's a carcinoma ex pleomorphic adenoma?

Answer 40

A pleomorphic adenoma that has turned cancerous

Question 41

What is the prognosis of mucoepidermoid carcinoma determined by?

Answer 41

``` Clinical Stage and Histologic grade (low, intermediate, high) ```

Question 42

Minor Gland tumor benign vs maligant

Answer 42

Benign 50% | Malignant 50%

Question 43

Upper lip tumors benign vs malignant

Answer 43

Benign 80% | Malignant 20%

Question 44

Lower Lip tumors benign vs malignant

Answer 44

Benign 40% | Malignant 60%

Question 45

Palate tumors benign vs malignant

Answer 45

Benign 50% | Malignant 50%

Question 46

Tongue tumors benign vs malignant

Answer 46

Benign 15% | Malignant 85%

Question 47

Cheek tumors benign vs malignant

Answer 47

Benign 50% | Malignant 50%

Question 48

Retromolar pad benign vs malignant

Answer 48

Benign 10% | Malignant 90%

Question 49

What is kaposis sarcoma indicitive of? | What does Kaposis sarcoma look like?

Answer 49

AIDS presence | Red purple mass on the palate

Question 50

Sublingual gland | benign vs malignant

Answer 50

30 benign | 70 malignant

Question 51

Submandibular gland | benign vs malignant

Answer 51

60 benign | 40 malignant

Question 52

parotid gland | benign vs malignant

Answer 52

70 benign | 30 malignant