OPT Salivary
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each of the black spaces below before clicking
on it to display the answer.
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| mucocele (mucus extravasation phenomenon) | rupture of salivary gland duct with mucus spillage into soft tissues; most frequently in anterior and lower lip
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| ranula | mucocele in the floor of the mouth
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| plunging/cervical ranula | occurs when mucus dissects through mylohyoid and produces sweeping of the neck
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| superficial mucocele | mucus accumulates right under surface epithelium and produces clear, small vesicles; common in posterior buccal mucosa and soft palate
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| salivary gland duct cyst (mucus duct cyst, sialocyst) | epithelium-lined cavity that arises from salivary gland tissue but does not communicate with the lumen of the duct; contains watery fluid in the regions of the salivary ducts
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| sialolith | dystrophic calcifications in salivary gland ducts, unrelated to blood calcium levels
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| sialadenitis | inflammation of salivary glands from various causes; often Staph aureus and mumps
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| surgical mumps | sialadenitis and enlargement in patients given atropine while NPO during surgical procedures
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| acute sialadenitis | pain, swelling, purulence of salivary glands; usually bacterial and in parotid gland
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| chronic sialadenitis | secondary to persistent salivary gland duct obstruction, usually from sialoliths; sialograms exhibit "sausaging" of Stensen's duct
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| juvenile recurrent parotitis | most common salivary disorder in kids; recurring episodes of parotid swelling
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| cheilitis glandularis | rare inflammatory disorder of labial minor salivary glands of unknown cause but probably sun damage
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| xerostomia | subjective sensation of dry mouth, usually in females
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| Sjogren syndrome | chronic systemic autoimmune disorder of salivary and lacrimal glands resulting in dry mouth and eyes
-{primary Sjogren}- process occurs alone
-{secondary Sjogren}- in conjunction with rheumatoid arthritis or lupus
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| sicca syndrome | combination of dry mouth and eyes
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| benign lymphoepithelial lesion | histologic pattern of Sjogren affected gland; acinar atrophy, lymphocytic infiltrate and residual ductal epithelium
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| epimyoepithelial islands | duct cells and myoepithelial cells become hyperplastic and form these surrounded by lymphocytic infiltrate in Sjogren's
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| Mikulicz disease | bilateral parotid and lacrimal gland enlargement due to benign lymphoepithelial lesions
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| Mikulicz syndrome | any bilateral enlargement of parotid and lacrimal glands
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| Schirmer test | strips of filtered paper that are placed in lower eyelid to gauge tear production
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| adenomatoid hyperplasia | idiopathic process that affects hard and soft palates with painless, benign enlargements
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| necrotizing sialometaplasia | secondary to ischemia of salivary tissue that leads to infarction and necrosis, 75% in posterior palate; often misdiagnosed as mucoepidermoid carcinoma but is benign and resolves in 5-6 weeks
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| pleomorphic adenoma (benign mixed tumor) | most common salivary gland neoplasm; mixture of ductal and myoepithelial cells, painless, slow-growing, benign mass of considerable size
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| Warthin tumor (papillary cyst adenoma lymphomatosum) | firm benign mass at tail of parotid/angle of mandible; associated with smoking
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| canalicular adenoma | uncommon benign tumor in minor salivary glands, especially upper lip
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| basal cell adenoma | uncommon benign neoplasm of basal cell layer of salivary gland ducts; 75% in parotid gland, most arise de novo
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| mucoepidermoid carcinoma | most common malignant salivary gland tumor, can be in kids and mostly in parotid; can be confused with mucocele
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| intraosseous mucoepidermoid carcinoma | uncommon malignant neoplasm from omnipotential odontogenic epithelium; develop with impacted teeth or odontogenic cysts, usually in the mandible
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| acinic cell carcinoma | low-grade malignancy of mature-appearing serous acinar cells; can occur in kids
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| malignant mixed tumors | malignant counterparts of benign pleomorphic adenoma with 3 patterns
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| carcinoma ex pleomorphic adenoma | transformation of previously benign pleomorphic adenoma, usually after 15 years; a malignant mixed tumor
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| carcinosarcoma | rare malignant mixed tumor of epithelial and stromal malignancies
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| metastasizing mixed tumor | malignant mixed tumor that appears benign but exhibits metastasis in bones and lungs
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| adenoid cystic carcinoma (cylindroma) | common malignancy of salivary glands with basaloid epithelial cells arranged in {cribriform/Swiss cheese pattern} and exhibits {perineurial invasion}
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| cribriform / Swiss cheese pattern | arrangement of cells in adenoid cystic carcinoma; also exhibits {perineurial invasion)
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| polymorphous low-grade adenocarcinoma | malignant salivary gland tumor, almost always in minor salivary glands with cells in many different patterns
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| salivary adenocarcinoma, NOS | salivary gland carcinomas that defy existing classification scheme; 'trash bag' of unknown diagnoses
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Created by:
aharnold
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