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
