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
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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