Salivary Gland Diseases Flashcards
(26 cards)
Where is the most common site for salivary gland tumours
Parotid
Name 2 benign tumours of the salivary gland
Pleomorphic adenoma
Warthins tumour
What is the most common benign salivary gland tumour
Pleomorphic adenoma
Who usually presents with Pleomorphic adenoma
Usually females 20-60
What is known to be linked with Pleomorphic adenoma
Radiation
Macroscopic appearance of Pleomorphic adenoma
Will circumscribed, light tan to grey
Microscopic appearance of Pleomorphic adenoma
Highly variable epithelial and myoepithelial cells in chondromyxoid stroma
Who usually presents with warthins tumour
Males over 50
What has warthins tumour got a strong association with
Smoking
Macroscopic appearance of warthins tumour
Often bilateral, well circumscribed, light grey, cystic
Microscopic appearance of warthins tumour
Bilayers of oncocytic epithelium with lymphoid stroma
What is the most common malignant salivary gland tumour worldwide
Mucoepidermoid carcinoma
What is mucoepidermoid carcinoma associated with
MECT1-MAML2 fusion
What is the most common malignant salivary gland tumour in the UK
Adenoid cystic carcinoma
What is the most common malignant tumour of the palate
Adenoids cystic carcinoma
What symptom is adenoid cystic carcinoma associated with and why
Frequent perineural invasion: associated pain or loss of function
Who usually presents with adenoids cystic carcinoma
Patients over 40
What does adenoid cystic carcinoma look like macroscopically
Greyish/white infiltrative mass
Microscopic appearance of adenoid cystic carcinoma
Small uniform cells with little cytoplasm in solid, tubular or cribiform plate
How may a salivary gland tumour present
Mass in the gland which may have been present a long time ago
What symptoms is associated with malignant parotid tumours
Signs of facial nerve damage
Management of salivary gland tumours
Resection
What is at risk during a parotidectomy
Facial nerve
Retromandibular vein
External carotid artery
What is sialadenitis
Salivary gland infection
