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Oral Pathology 2020 > Chapter 11 Test #3 lecture 2 > Flashcards

Chapter 11 Test #3 lecture 2 Flashcards

1
Q

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

A

-Cheilitis Glandularis

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2
Q

What is the clinical presentation of cheilitis glandularis?

A
  • Swelling and pain typically of the lower lip
  • Eversion of the lip
  • Red dots indicate duct orifices
  • Mucopurulent secretion “weeping”
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3
Q

What histology do you see with cheilitis glandularis?

A
  • Chronic sialadenitis

- Ductal dilation

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4
Q

Who do you typically see cheilitis glandularis in?

A

-Middle aged to older males

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5
Q

Is cheilitis glandularis pre-malignant?

A

-Not typically

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6
Q

What looks like cheilitis glandularis and is pre-malignant?

A

-Actinic cheilosis

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7
Q

What is Sialorrhea?

A

-Excessive salivation

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8
Q

What is the treatment of Sialorrhea?

A
  • Treat the underlying cause
  • Anticholinergic medications
  • Scopolamine transdermal patch
  • Surgery: relocation of the salivary ducts to tonsillar fossa
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9
Q

What can cause sialorrhea?

A
  • Aphthous ulcers
  • Ill-fitting dentures
  • GERD
  • Rabies
  • Heavy metal poisoning
  • Cholinergic agonists (medication)
  • Lithium (Medication)
  • Idiopathoic paroxysmal sialorrhea
  • Down syndrome
  • Cerebral palsy
  • Neurologic disorder
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10
Q

What is xerostomia?

A

-Subjective sensation of a dry mouth

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11
Q

What are complications of xerostomia?

A
  • Candidiasis
  • Prone to cervical and root caries
  • Alteration of taste
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12
Q

What are common causes of xerostomia?

A
  • Medication
  • Caffeine/alcohol
  • Smoking
  • Radiation therapy
  • Sjogren’s syndrome
  • Diabetes mellitus
  • Sarcoidosis
  • Surgery of salivary glands
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13
Q

What is the management of xerostomia?

A
  • Elimination of alcohol, smoking, and caffeine consumption
  • Drug modification if possible
  • Sugarless candies and gum
  • Oral lubricants
  • Pilocarpine (Salagen) (medication)
  • Cevimeline (Evoxac) (medication)
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14
Q

What categories of drugs can cause xerostomia?

A
  • Anti-hypertensive drugs
  • Diurectics
  • Anti-depressant
  • Anti-anxiety
  • Anti-inflammatory
  • Anti-histamine
  • Anti-convulsant
  • Muscle relaxant
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15
Q

What is an Autoimmune disease mainly affecting salivary and lacrimal glands?

A

-Sjogren’s syndrome

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16
Q

What is primary Sjogren’s syndrome?

A

-There are no other autoimmune disease

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17
Q

What is secondary Sjogren’s syndrome?

A

-Associated with other autoimmune diseases

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18
Q

If you wipe you glove on the hard palate of someone and it sticks what is that a sign of?

A

-Xerostomia

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19
Q

What is another name for Sjogren’s syndrome?

A

-Sicca syndrome

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20
Q

What are the ocular tests for sjogren’s syndrome?

A
  • Schimer test

- Rose bengal test

21
Q

What is needed to diagnose Sjogren’s syndrome?

A
  • Positive serum anti SSA and/or anti-SSB
  • Ocular staining score greater than or equal to 3
  • Presence of focal lymphocytic sialadenitis with a focus (aggregate) score greater than or equal to 1 in 4 square mm
22
Q

If a person has Sjogren’s syndrome what are they at increased risk for?

A

-Lymphoma (marginal zone lymphoma)

23
Q

What is the most common site for a salivary gland neoplasms?

A

-Parotid gland

24
Q

What are two typical presentations encountered?

A
  • Smooth surfaced dome shaped nodule

- An ulcerated mass lesion

25
Are most sublingual neoplasms malignant or benign?
-Malignant
26
What is the most common site for minor salivary gland neoplasm?
-Palate
27
What percent of parotid salivary gland neoplasms are benign and malignant?
- 70 benign | - 30 malignant
28
What percent of submandibular gland neoplasms are benign and malignant?
- 60 benign | - 40 malignant
29
What percent of sublingual gland neoplasms are benign and malignant?
- 30 benign | - 70 malignant
30
What percent of minor glands neoplasms are benign and malignant?
- 50 benign | - 50 malignant
31
What percent of upper lip salivary gland neoplasms are benign and malignant?
- 80 benign | - 20 malignant
32
What percent of lower lip salivary gland neoplasms are benign and malignant?
- 40 benign | - 60 malignant
33
What percent of palate salivary gland neoplasms are benign and malignant?
- 50 benign | - 50 malignant
34
What percent of tongue salivary gland neoplasms are benign and malignant?
- 15 benign | - 85 malignant
35
What percent of cheek salivary gland neoplasms are benign and malignant?
- 50 benign | - 50 malignant
36
What percent of retromolar pad salivary gland neoplasms are benign and malignant?
- 10 benign | - 90 malignant
37
Are salivary gland neoplasms more common in the upper lip or lower lip?
-Upper lip
38
Are upper lip salivary gland neoplasms mostly benign or malignant?
-Benign
39
Are lower lip salivary gland neoplasms mostly benign or malignant?
-Malignant
40
What is the most common neoplasms?
-Pleomorphic adenoma
41
Is a pleomorphic adenoma benign or malignant?
-Benign
42
What is the most common malignant neoplasm?
-mucoepidermoid carcinoma
43
What are four benign salivary gland neoplasms?
- Canalicular adenoma - Pleomorphic adenoma - Warthin tumor (papillary cystadenoma lymphomatosum) - Oncocytoma
44
What is a canalicular adenoma?
-A type of monomorphic adenoma
45
Where do you mostly find a canalicular adenoma?
-Upper lip
46
Where is canalicular adenoma found exclusively?
-Minor glands
47
If a person is younger than 50 and you see a salivary gland neoplasms on the upper lip what are you thinking?
-Pleomorphic adenoma
48
If a person is older than 60 and you see a salivary gland neoplasms on the upper lip what are you thinking?
-Canalicular adenoma

Oral Pathology 2020 (38 decks)

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