Salivary Gland Pathology Flashcards Preview

Dental Pathology > Salivary Gland Pathology > Flashcards

Flashcards in Salivary Gland Pathology Deck (83)
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1

Common lesion resulting from damage of the salivary duct, with extravasation (spillage) of mucin into the surrounding tissue, frequently due to local trauma

Mucocele (Mucus Extravasation Phenomenon)

2

Most on the LOWER LIP of children or young adults, fluctuant, dome shaped swelling with a translucent blue color, may wax and wane

Mucocele

3

variant of mucocele secondary to superficial location of the mucin, palate, retromolar pad, posterior buccal mucosa

superficial mucocele

4

variant of mucocele occuring in the floor of the mouth, usually from the sublingual gland, although some arise from the submandibular duct

ranula

5

translucent blue or normal colored, fluctuant swelling in the floor of the mouth, may cause elevation of the tongue

ranula

6

Variant of ranula- mucin penetrating the mylohyoid muscle, showing submandibular swelling or swelling of the neck

plugging ranula

7

epithelial-lined cavity filled with mucin, most probably arise secondary to ductal obstruction, which increases intraluminal pressure, probably represent ductal ectasia (dilation) rather than a true cyst

salivary duct cyst (mucus retention cyst; mucus duct cyst)

8

typically adults; major (parotid) or minor glands (floor of mouth, buccal mucosa, lips; fluctuant asymptomatic swelling

salivary duct cyst

9

cystic space lined by cuboidal or columnar epithelium; may acquire papillary infoldings

salivary duct cyst

10

salivary duct calcifications of unknown etiology; arise secondary to deposition of calcium salts around a nidus of debris; unrelated to calcium-phosphorus metabolism

sialolithiasis

11

usually within the submandibular duct; episodic pain and/or swelling; may have palpable mass; minor gland involvement will often be asymptomatic; radiographic appearance- opaque mass

sialolithiasis

12

concentric laminations around an amorphous central nidus; inflammation of duct and adjacent glands; may see squamous, oncocytic, or mucous cell metaplasia

sialolithiasis

13

inflammation of salivary glands; infectious (viral, bacterial) or noninfectious (sjogren, sarcoidosis, radiation) etiology, "surgical mumps"- post abdominal surgery

sialadenitis

14

_ _ sialadenitis- typically involves the parotid, swollen, painful gland, purulent discharge

acute bacterial

15

_ sialadenitis- usually secondary to recurrent or persistent ductal obstruction (sialolith), episodic pain and swelling, usually at mealtime, submandibular involvement may include persistent enlargement (Kuttner tumor)

chronic

16

excessive salivation; associated with local irritation (dentures), medications, heavy metal poisoning, GI reflux disease; may also be seen in patients with poor neuromuscular control

sialorrhea

17

drooling, choking; may cause irritation or open sores of the surrounding skin

sialorrhea

18

subjective sensation of dry mouth; secondary to a number of systemic conditions; aging, smoking, or medications and treatments

xerostomia

19

systemic diseases associated w/ xerostomia

sjogren, diabetes, sarcoidosis, HIV

20

The following medications are associated with _: antihistamines (diphenhydramine), decongestants (pseudoephedrine), antidepressants (amitriptyline), antipsychotics, antihypertensives, anticholinergics (atropine, scopolamine)

xerostomia

21

F>M, elderly; thick, foamy saliva; dry mucosa, with atrophy and fissuring; increased incidence of candidiasis infection

xerostomia

22

_-related caries: caries of the root surface or cervical area secondary to lack of salivary protection

xerostomia

23

intense lymphocytic infiltration of the salivary glands; most are associated with Sjogren

Benign lymphoepithelial lesion

24

benign lymphoepithelial lesion by itself

Mikulicz's disease

25

benign lymphoepithelial lesion in combination with another disease such as sjogren's syndrome

Mikulicz's syndrome

26

typically bilateral; F>M, average age 50; usually an asymptomatic, diffuse swelling of the parotid gland; epimyoepithelial islands

benign lymphoepithelial lesion

27

surgical removal of the involved gland; good prognosis, although an increased risk of developing lymphoma; MALT lymphoma

benign lymphoepithelial lesion

28

autoimmune disorder affecting the salivary and lacrimal glands

sjogren syndrome

29

_ sjogren syndrome- sjogren along

primary

30

_ sjogren syndrome- sjogren along with another autoimmune disorder (SLE, rheumatoid arthritis)

secondary