NEOPLASTIC LESIONS OF SALIVARY GLANDS

Question 1

Larger the gland size, the more the chance that the tumor is __________

Answer 1

benign

Question 2

Smaller the gland size, the more the chance that tumor is __________

Answer 2

malignant

Question 3

Bad signs about tumor

Answer 3

Facial nerve involvement
Skin fixed
Rapid growth
Decreased mobility
Pain

Question 4

___________ is the most common benign tumor of salivary glands

Answer 4

Pleomorphic adenoma

Question 5

Pleomorphic adenoma is common in _________

Answer 5

females aged 30-40

Question 6

Pleomorphic adenoma is most commonly found in ____________

Answer 6

parotid gland tail

Question 7

Morphology of pleomorphic adenoma

Answer 7

Mixed cells (epithelial and mesenchymal)
Encapsulated with pseudopods

Question 8

Tx of benign lesions in parotid gland

Answer 8

Superficial parotidectomy

Question 9

Warthin tumor is AKA ____________

Answer 9

Adenolymphoma
Papillary cystadenoma
Lymphomatosum

Question 10

Age and sex in which tumors are common.
Adenolymphoma
Oncocytoma
Hemangioma

Answer 10

Adenolymphoma (5th-7th decade men)
Oncocytoma (elder)
Hemangioma (children and female)

Question 11

Characteristics of adenolymphoma

Answer 11

bilateral and multiple

Question 12

Characteristics of oncocytoma

Answer 12

Dx by technetium-99 and there is higher uptake
Do not grow larger than 5cm

Question 13

Characteristics of hemangioma

Answer 13

increase in size on crying or straining

Question 14

Mucoepidermoid CA is a ____________ growing tumor

Answer 14

slow

Question 15

Adenoid cystic carcinoma (cylindroma) is a ________ growing tumor

Answer 15

slow

Question 16

Squamous cell CA is a _______ growing tumor

Answer 16

rapid

Question 17

In Mucoepidermoid CA, ___________ causes tumor to behave malignant

Answer 17

epidermoid

Question 18

Low grade mucoepidermoid CA are common in ____________

Answer 18

children

Question 19

Low grade mucoepidermoid CA tx

Answer 19

SUperficial or total parotidectomy with preserving the facial nerve

Question 20

High grade mucoepidermoid CA tx

Answer 20

Total parotidectomy
Facial nerve may be sacrificed
Radical neck dissection

Question 21

Adenoid cystic CA has a tendency to recur ______ and distant metastasis are to _____, _______ and ______

Answer 21

10-20 years
lung, brain and bone

Question 22

Acinic cell carcinoma is a _______ grade CA

Answer 22

low grade

Question 23

Adenocarcinoma is commonly seen in _______ glands

Answer 23

minor salivary glands

Question 24

Malignant mixed tumor has two parts

Answer 24

De novo tumor
CA developed in pre-existing benign tumor

Question 25

All other malignant lesions tx except acinic cell CA

Answer 25

Radical parotidectomy

Question 26

What is Frey syndrome

Answer 26

gustatory sweating as a complication of parotid surgery sweating and flushing of preauricular area during mastication Due to parasympathetic innervation of sweat glands

Question 27

Tx of Frey syndrome

Answer 27

Tympanic neurectomy Fascia lata between skin and fat Botulinum toxin