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ENT > NEOPLASTIC LESIONS OF SALIVARY GLANDS > Flashcards

NEOPLASTIC LESIONS OF SALIVARY GLANDS Flashcards

1
Q

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

A

benign

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2
Q

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

A

malignant

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3
Q

Bad signs about tumor

A

Facial nerve involvement
Skin fixed
Rapid growth
Decreased mobility
Pain

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4
Q

___________ is the most common benign tumor of salivary glands

A

Pleomorphic adenoma

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5
Q

Pleomorphic adenoma is common in _________

A

females aged 30-40

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6
Q

Pleomorphic adenoma is most commonly found in ____________

A

parotid gland tail

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7
Q

Morphology of pleomorphic adenoma

A

Mixed cells (epithelial and mesenchymal)
Encapsulated with pseudopods

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8
Q

Tx of benign lesions in parotid gland

A

Superficial parotidectomy

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9
Q

Warthin tumor is AKA ____________

A

Adenolymphoma
Papillary cystadenoma
Lymphomatosum

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10
Q

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

A

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

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11
Q

Characteristics of adenolymphoma

A

bilateral and multiple

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12
Q

Characteristics of oncocytoma

A

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

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13
Q

Characteristics of hemangioma

A

increase in size on crying or straining

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14
Q

Mucoepidermoid CA is a ____________ growing tumor

A

slow

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15
Q

Adenoid cystic carcinoma (cylindroma) is a ________ growing tumor

A

slow

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16
Q

Squamous cell CA is a _______ growing tumor

A

rapid

17
Q

In Mucoepidermoid CA, ___________ causes tumor to behave malignant

A

epidermoid

18
Q

Low grade mucoepidermoid CA are common in ____________

A

children

19
Q

Low grade mucoepidermoid CA tx

A

SUperficial or total parotidectomy with preserving the facial nerve

20
Q

High grade mucoepidermoid CA tx

A

Total parotidectomy
Facial nerve may be sacrificed
Radical neck dissection

21
Q

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

A

10-20 years
lung, brain and bone

22
Q

Acinic cell carcinoma is a _______ grade CA

A

low grade

23
Q

Adenocarcinoma is commonly seen in _______ glands

A

minor salivary glands

24
Q

Malignant mixed tumor has two parts

A

De novo tumor
CA developed in pre-existing benign tumor

25
Q

All other malignant lesions tx except acinic cell CA

A

Radical parotidectomy

26
Q

What is Frey syndrome

A

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

27
Q

Tx of Frey syndrome

A

Tympanic neurectomy
Fascia lata between skin and fat
Botulinum toxin

ENT (12 decks)

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