Difference between revisions of "Salivary gland mucocele"

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#Redirect [[Salivary glands#Salivary gland mucocele]]
'''Salivary gland mucocele''', also '''salivary mucocele''' and '''[[mucocele]]''', is a benign lesion of the head and neck.
 
==General==
*Benign.
*Infected [[mucocele]] = mucopyocele.
 
==Microscopic==
Features:<ref>URL: [http://emedicine.medscape.com/article/1076717-workup http://emedicine.medscape.com/article/1076717-workup]. Accessed on: 6 March 2012.</ref>
*Granulation tissue-like and pseudocyst-like.
**Granulation tissue-like:
***Fibroblasts.
***Small caliber blood vessels.
***Histocytes.
***Neutrophils.
**Pseudocyst:
***No epithelial lining.
***Poorly circumscribed.
*Pale pink extracellular material (mucous) - '''key feature'''.
*+/-[[Granuloma]]s.<ref name=pmid7251405>{{Cite journal  | last1 = Seifert | first1 = G. | last2 = Donath | first2 = K. | last3 = von Gumberz | first3 = C. | title = [Mucoceles of the minor salivary glands. Extravasation mucoceles (mucus granulomas) and retention mucoceles (mucus retention cysts) (author's transl)]. | journal = HNO | volume = 29 | issue = 6 | pages = 179-91 | month = Jun | year = 1981 | doi =  | PMID = 7251405 }}</ref>
 
DDx:
*[[Granulation tissue]].
*[[Signet ring cell carcinoma]] - muciphages may mimic signet ring cells.
 
===Images===
<gallery>
Image:Mucocele_of_lower_lip_%281%29.JPG | Mucocele - low mag. (WC/KGH)
Image:Mucocele_of_lower_lip_%282%29.JPG | Mucocele - high mag. (WC/KGH)
Image:Mucocele_-_low_mag.jpg | Mucocele - low mag. (WC/Nephron)
Image:Mucocele_-_high_mag.jpg | Mucocele - high mag. (WC/Nephron)
</gallery>
www:
*[http://dermatlas.med.jhmi.edu/derm/indexDisplay.cfm?ImageID=292590975 Mucocele (dermatlas.med.jhmi.edu)].
 
==Sign out==
<pre>
LESION, LEFT LOWER LIP, EXCISION:
- BENIGN MUCOCELE.
</pre>
 
===Micro===
The sections show a stratified squamous epithelium with a thin layer of parakeratosis,
minor salivary glands, and a well-circumscribed cystic lesion.
 
The cystic lesion has a mildly fibrotic appearing wall, is lined by histiocytes intermixed with rare lymphocytes, and contains mucous and macrophages. No significant nuclear atypia is identified. Mitotic activity is not readily apparent.
 
==See also==
*[[Salivary gland]].
 
==References==
{{Reflist|1}}


[[Category:Diagnosis]]
[[Category:Diagnosis]]

Revision as of 19:15, 23 June 2020

Salivary gland mucocele, also salivary mucocele and mucocele, is a benign lesion of the head and neck.

General

  • Benign.
  • Infected mucocele = mucopyocele.

Microscopic

Features:[1]

  • Granulation tissue-like and pseudocyst-like.
    • Granulation tissue-like:
      • Fibroblasts.
      • Small caliber blood vessels.
      • Histocytes.
      • Neutrophils.
    • Pseudocyst:
      • No epithelial lining.
      • Poorly circumscribed.
  • Pale pink extracellular material (mucous) - key feature.
  • +/-Granulomas.[2]

DDx:

Images

www:

Sign out

LESION, LEFT LOWER LIP, EXCISION:
- BENIGN MUCOCELE.

Micro

The sections show a stratified squamous epithelium with a thin layer of parakeratosis, minor salivary glands, and a well-circumscribed cystic lesion.

The cystic lesion has a mildly fibrotic appearing wall, is lined by histiocytes intermixed with rare lymphocytes, and contains mucous and macrophages. No significant nuclear atypia is identified. Mitotic activity is not readily apparent.

See also

References

  1. URL: http://emedicine.medscape.com/article/1076717-workup. Accessed on: 6 March 2012.
  2. Seifert, G.; Donath, K.; von Gumberz, C. (Jun 1981). "[Mucoceles of the minor salivary glands. Extravasation mucoceles (mucus granulomas) and retention mucoceles (mucus retention cysts) (author's transl)].". HNO 29 (6): 179-91. PMID 7251405.