Diseases of Salivary Glands

Question 1

The following are _____ salivary glands:
Parotid
Submand
Sublingual

Answer 1

Major

Question 2

The following are \_\_\_\_\_ salivary glands:
Palate
Buccal mucosa
Tongue
Floor of mouth
Labial mucosa
Retromolar pad
Oropharynx

Answer 2

Minor

Question 3

In regards to serous or mucous acini, what is the parotid gland made up of?

Answer 3

Serous acini

Question 4

In regards to serous or mucous acini, what is the submand gland made up of?

Answer 4

Mixed - mostly serous

Question 5

In regards to serous or mucous acini, what is the sublingual gland made up of?

Answer 5

Mixed - mostly mucous

Question 6

Where are the majority of the minor salivary glands?

Answer 6

Palate

Question 7

Minor gland of the tongue
Circumvallate papillae
–serous

Answer 7

Glands of Von ebner

Question 8

Minor gland of the tongue
Anterior ventral
Mucous

Answer 8

Glands of Blandin and Nuhn

Question 9

Minor gland of the tongue
Posterior lateral border
Mucous

Answer 9

Glands of Weber

Question 10

Swelling due to ductal system being interrupted/ broken usually due to trauma

Answer 10

Mucocele

Question 11

_____ is a mucocele of the sublingual gland that occurs above the mylohyoid muscle

Answer 11

ranula

Question 12

_____ is a mucocele of the sublingual gland that occurs below the mylohyoid muscle

Answer 12

Plunging ranula

Question 13

____;

Mucins get stuck in salivary duct and calcifies blocking the duct

Answer 13

Sialolith

Question 14

\_\_\_\_ is an idiopathic and reactive pathology
Occurs on palate
Pseudoepitheliomatous hyperplasia
Sialometaplasia
Coagulative necrosis of the glands

Answer 14

Necrotizing sialometaplasia

Question 15

Autoimmune disorder
Dry mouth and dry eyes
Primary vs. Secondary
Bilateral enlargement of parotid gland
Benign lymphoepithelial lesion (BLEL)
Mikulicz’s disease
Laboratory values
Anti-SS-A
Anti-SS-B
RF
ANA

Answer 15

Sjogren syndrome

Question 16

Are diseases of parotid glands more often benign or malignant?

Answer 16

Even between the 2

Question 17

Are diseases of submand glands more often benign or malignant?

Answer 17

Malignant

Question 18

Are diseases of sublingual glands more often benign or malignant?

Answer 18

Mostly malignant

Question 19

Are diseases of buccal mucosa more often benign or malignant?

Answer 19

Even

Question 20

Are diseases of palate more often benign or malignant?

Answer 20

Even

Question 21

Are diseases of upper lip more often benign or malignant?

Answer 21

Benign

Question 22

Are diseases of lower lip more often benign or malignant?

Answer 22

Malignant

Question 23

Are diseases of Tongue more often benign or malignant?

Answer 23

Malignant

Question 24

Are diseases of retromolar pad more often benign or malignant?

Answer 24

Malignant

Question 25

Are diseases of floor of mouth more often benign or malignant?

Answer 25

Malignant

Question 26

``` The following are ____ salivary gland tumors: Benign Mixed Tumor (Pleomorphic Adenoma) Monomorphic Adenoma Warthin’s Tumor (Papillary Cystadenoma Lymphomatosum) Oncocytoma Ductal Papillomas ```

Answer 26

Benign Salivary Gland Tumor

Question 27

``` Benign Salivary gland tumor Most common salivary gland neoplasm Middle-aged females Painless slowly growing mass Variable histology Mixture of ductal and myoepithelial elements Encapsulated ```

Answer 27

Pleomorphic adenoma

Question 28

``` Benign Salivary gland tumor Upper lip Middle-aged females Painless slowly growing mass Uniform pattern Single layered cords of columnar or cuboidal epithelium May demonstrate papillary projections Loose connective tissue stroma, with prominent vascularity Thin fibrous capsule ```

Answer 28

Monomorphic adenoma

Question 29

``` Benign Salivary gland tumor 2nd most common benign salivary gland neoplasm Parotid gland Bilateral Middle-aged males Lower in blacks Smoking Painless slowly growing nodular mass Oncocytic ductal epithelium Uniform double rows Lymphoid aggregate Papillary cystic configuration ```

Answer 29

PAPILLARY CYSTADENOMA LYMPHOMATOSUM | WARTHIN’S TUMOR

Question 30

``` Benign Salivary gland tumor Rare salivary gland neoplasm Large epithelial cells, oncocytes Females, 8th decade Parotid Painless slowly growing mass Multifocal Large polyhedral cells abundant in granular eosinophilic cytoplasm mitochondria Limited stroma Thin fibrovascular septa Lymphoid infiltrate ```

Answer 30

Oncocytoma

Question 31

``` The following are _____ Salivary gland tumors: Mucoepidermoid Carcinoma Adenoid Cystic Carcinoma Polymorphous Low-Grade Adenocarcinoma Acinic Cell Carcinoma Carcinoma ex-Mixed Tumor Adenocarcinoma NOS ```

Answer 31

Malignant

Question 32

``` Malignant Salivary gland tumor Most common malignant salivary gland neoplasm Middle-aged females Clinically mistaken for a mucocele Mucous producing cells Epidermoid (squamous) cells May be cystic and / or solid ```

Answer 32

Mucoepidermoid Carcinoma

Question 33

``` Malignant Salivary gland tumor Best recognized salivary gland tumor Middle-aged females Slowly growing mass, painful Myoepithelial and ductal cells Perineural and perivascular invasion Cribriform pattern SWISS CHEESE ```

Answer 33

Adenoid Cystic Carcinoma

Question 34

``` Malignant Salivary gland tumor Common malignant MINOR salivary gland neoplasm Middle-aged females Favors palate Deceptive uniform appearance Different growth patterns Perineural and perivascular invasion Indian filing ```

Answer 34

Polymorphous Low-Grade Adenocarcinoma

Question 35

``` Malignant Salivary gland tumor Parotid Serous acinar differentiation Middle-aged females Slow-growing Low-grade malignancy Well circumscribed May be infiltrative Serous acinar cell Abundant granular basophilic cytoplasm and a round, stained eccentric nucleus ```

Answer 35

Acinic Cell Carcinoma

Question 36

``` Malignant Salivary gland tumor Long standing pleomorphic adenoma Older adults Rapid growth Pain and ulceration Typical benign mixed tumor Malignant degeneration Cellular pleomorphism Abnormal mitotic activity Capsular invasion ```

Answer 36

Carcinoma ex-Mixed Tumor

Question 37

Malignant Salivary gland tumor Uncommon salivary gland neoplasm Middle-aged females Variable histology

Answer 37

Adenocarcinoma NOS

Question 38

If there is a malignancy on retromolar pad, it is likely what tumor?

Answer 38

Mucoepidermoid carcinoma