Oral Pathology Salivary Gland Pathology

Front 1

A bluish, dome-shaped swelling if superficial or of normal color if deep in the tissues and is typically covered by an intact epithelium is?

Back 1

Mucocele

Front 2

Where are Mucoceles most common?

Back 2

The lower lip (approx. 81 %), floor of the mouth, ventral tongue and buccal mucosa

Front 3

What typically causes Mucocele?

Back 3

Traumatic severance of the salivary gland excretory duct.

Front 4

What treatment is used for a Mucocele?

Back 4

Surgical excision, if needed, is the treatment of choice. Removal of the adjacent minor salivary gland helps prevent recurrence.

Front 5

A Mucocele that occurs on the floor of the mouth is termed?

Back 5

Ranula

Front 6

“Plunging” or cervical ranulas dissect through what muscle to produce swelling in the neck?

Back 6

Mylohyoid

Front 7

What is the cause of a ranula?

Back 7

Usually severance of the sublingual gland duct although severance of the submandibular duct may be the cause. Blockage of the duct with a salivary gland stone (sialolith) may produce a ranula which is a true mucous cyst.

Front 8

How would you distinguish a ranula from a midline dermoid cyst?

Back 8

Unilateral, lateral location.

Front 9

A solitary, asymptomatic, mobile, non-tender swelling covered by an intact epithelium usually the same color as the surrounding tissue is?

Back 9

Salivary duct cyst

Front 10

Where are Salivary duct cysts more common?

Back 10

The palate, cheek, floor of the mouth, they may occur in the major glands with the parotid being the most common major gland site.

Front 11

What is the cause of Salivary duct cysts?

Back 11

Blockage of the salivary gland excretory duct by a sialolith.

Front 12

A patient presenting with episodic pain and swelling particularly around mealtime most likely has?

Back 12

Salivary gland stone

Front 13

Salivary gland stones occur most often where?

Back 13

The submandibular gland ducts but they may also occur in the minor glands particularly of the upper lip and buccal mucosa.

Front 14

An Inflammation of the salivary glands is termed?

Back 14

Sialadenitis

Front 15

The most common viral infection is?

Back 15

Mumps

Front 16

Most bacterial infections arise as a result of?

Back 16

Ductal obstruction or decreased salivary flow

Front 17

Acute bacterial sialadenitis is most common where?

Back 17

In the parotid

Front 18

Overlying skin that is erythematous and a patient with low-grade fever, trismus and purulent discharge probably has what?

Back 18

Acute Sialadenitis (in the parotid)

Front 19

Would periodic swelling and pain be acute or chronic sialadenitis?

Back 19

Chronic

Front 20

A lesion usually involving the minor glands of the hard or soft palate is?

Back 20

Subacute necrotizing sialadenitis.

Front 21

The difference B/T subacute necrotizing sialadenitis and necrotizing sialometaplasia is?

Back 21

It appears as a painful nodule, which does not ulcerate or slough like necrotizing sialometaplasia.

Front 22

The most common cause of acute bacterial sialadenitis is?

Back 22

Staphylococcus aureus

Front 23

An uncommon inflammatory condition characteristically affecting the minor glands of the lower lip producing swelling and eversion, with duct openings that are dilated and inflamed and digital pressure often producing a mucopurulent secretion is?

Back 23

Cheilitis Glandularis

Front 24

The treatment of choice for persistent cases of Chelititis Glandularis is?

Back 24

vermilionectomy (lip shave).

Front 25

T/F cases of Chelitis Glandularis have been associated with Squamos cell Carcinoma?

Back 25

True (18%-35%)

Front 26

An Overproduction of saliva is termed?

Back 26

Sialorrhea (can produce drooling and choking).

Front 27

Aphthous ulcers and ill-fitting dentures along with rabies, heavy metal poisoning, gastroesophageal reflux disease and certain drugs such as lithium and cholinergic agonists as well as neurologic disorders such as cerebral palsy can all be causes of what?

Back 27

Minor sialorrhea

Front 28

Sialorrhea treatment includes?

Back 28

Anticholinergic medications, surgical correction and speech therapy have all been used in appropriate situations.

Front 29

Social embarrassment, soiling of clothes and bed linens can be significant problems associated with?

Back 29

Sialorrhea

Front 30

A patiet with foamy or thick and “ropey” saliva and the dorsal tongue is fissured with atrophy of the filiform papilla probably has?

Back 30

Xerostomia

Front 31

T/F The incidence of oral candidiasis, dental decay, particularly cervical and root caries increases with xerostomia?

Back 31

True

Front 32

Salivary gland aplasia, aging, smoking, mouth breathing, local radiation therapy, Sjögren syndrome, HIV infection and some medications can all be causes of?

Back 32

Xerostomia

Front 33

This presents as bilateral salivary gland swelling and is often a component of Sjogrens Syndrome?

Back 33

Benign Lymphoepithelial Lesion

Front 34

What gland is most often affected in benign lymphoepithelial lesion?

Back 34

Parotid gland

Front 35

Clinical presentation of painless swelling of the lacrimal and salivary glands due to a lesion histologically diagnosed as benign lymphoepithelial lesion is?

Back 35

Mikulicz disease

Front 36

Clinical presentation of lacrimal and salivary glands swelling secondary to other disease entities such as TB, sarcoid and lymphoma is?

Back 36

Mikulicz Syndrome

Front 37

In general what is the prognosis of a Benign Lyphoepithelial lesion?

Back 37

Good, however you have an increased risk of lymphoma

Front 38

A chronic, systemic autoimmune disorder that principally involves the salivary and lacrimal glands is?

Back 38

Sjogren Syndrome

Front 39

The principal oral symptom of Sjogren Syndrome is?

Back 39

Xerostomia

Front 40

What form of Sjogren Syndrome will a patient present with dry eyes and mouth plus another associated autoimmune disease such as rheumatoid arthritis, SLE, scleroderma?

Back 40

Secondary (Primary will not present with another autoimmune disease)

Front 41

A non-inflammatory disorder characterized by salivary gland enlargement, most common of the parotid is?

Back 41

A non-inflammatory disorder characterized by salivary gland enlargement, most common of the parotid is?

Front 42

Sialography demonstrates what type of pattern?

Back 42

Leafless tree

Front 43

What condition is frequently associated with an underlying systemic problem such as diabetes, general malnutrition, alcoholism and bulimia?

Back 43

Sialadenosis (It is thought that these conditions cause a dysregulation of the autonomic innervation of the salivary acini producing the enlargement.)

Front 44

An uncommon lesion characterized by localized swelling that mimics a neoplasm commonly affecting the minor salivary glands is?

Back 44

Adenomatoid Hyperplasia (of the Minor Salivary Glands)

Front 45

An uncommon, locally destructive inflammatory condition of salivary glands commonly affecting palatal salivary glands which sloughs leaving a crater-like ulcer after 2-3 weeks is?

Back 45

Necrotizing Sialometaplasia

Front 46

Why would a biopsy be necessary in Necrotizing Sialometaplasia?

Back 46

To rule out Malignancy

Front 47

Assuming that no malignancy is found what are the treatment steps in Necrotizing Sialometaplasia?

Back 47

Nothing, the lesion should resolve by itself in 5-6 weeks

Front 48

The gland that is most common to have a tumor is?

Back 48

Parotid

Front 49

A tumor found in which gland is almost always (90%) malignant?

Back 49

Sublingual glands

Front 50

The most common salivary neoplasm is?

Back 50

Pleomorphic Adenoma (Benign Mixed Tumor)

Front 51

Pleomorphic adenomas are derived from a mixture of _________ and _______ elements giving it remarkable diversity in microscopic appearance?

Back 51

Ductal and myoepithelial

Front 52

The most common location for a pleomorphic Adenoma intraorally is?

Back 52

Palate, followed by the upper lip and buccal mucosa

Front 53

An 85 year old woman has a slow-growing firm, painless swelling in a major salivary gland. What is most likely?

Back 53

Oncocytoma

Front 54

A metaplastic transformation of ductal and acinar cells to oncocytes found primarily in the parotid gland of older adults is?

Back 54

Oncocytosis (not to be confused with oncocytoma)

Front 55

The most common site of a Canalicular Adenoma is?

Back 55

The upper lip (75%) then buccal mucosa (this pathology affects the minor salivary glands exclusively)

Front 56

A benign salivary gland tumor with tumor cells that have a basaloid appearance is?

Back 56

Basal Cell Adenoma

Front 57

An exophytic papillary growth which occurs more commonly on the palate and has a female predilection is?

Back 57

Sialadenoma papilliferum

Front 58

A papilloma more common on the lips where it appears as submucosal swelling is?

Back 58

Intraductal papilloma

Front 59

A papilloma seen on the lip/mandibular vestibule area as an asymptomatic submucosal nodule is?

Back 59

Inverted ductal papilloma

Front 60

The most common malignant salivary gland neoplasm in the U.S. is?

Back 60

Mucoepidermoid Carcinoma

Front 61

A mucoepidermoid carcinoma found in the submandibular glands or at the base of the tongue would have a good or poor prognosis?

Back 61

Poor

Front 62

A Carcinoma found in the molar-ramus region of the mandible, with cortical swelling and possible pain, trismus, and paresthesia is?

Back 62

Intraosseous (central) Mucoepidermoid Carcinoma

Front 63

One of the more common and best recognized salivary gland malignances, it presents with a slow-growing mass and low-grade, dull pain is?

Back 63

Adenoid Cystic Carcinoma

Front 64

The most common site for an Adenoid Cystic Carcinoma is?

Back 64

The Palate

Front 65

The nerve most likely to experience paralysis in parotid tumors is?

Back 65

Facial Nerve

Front 66

In palatal tumors and tumors of the maxillary sinus what might appear in a radiograph?

Back 66

Bony destruction

Front 67

A pathology that shows a swiss cheese histological pattern is?

Back 67

Adenoid Cystic Carcinoma

Front 68

A malignant neoplasm occurring in the minor salivary glands (often on hard and soft palate followed by upper lip and buccal mucosa) commonly presenting as a slow-growing mass occasionally accompanied by bleeding or discomfort is?

Back 68

Polymorphous Low-Grade Adenocarcinoma

Front 69

A malignant tumor most common in the parotid gland that has a good prognosis (compared to other salivary gland malignancies) is?

Back 69

Acinic Cell Adenocarcinoma

Front 70

A malignant transformation of the epithelial component of a previously benign pleomorphic adenoma occurs in?

Back 70

Malignant Mixed Tumor (specifically carcinoma ex. Pleomorphic adenoma)

Front 71

A malignant salivary gland neoplasm that cannot be further classified as one in the existing classification schemes is?

Back 71

Salivary Adenocarcinoma, NOS