Difference between revisions of "Salivary glands"

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Salivary glands (view source)

Revision as of 11:51, 2 June 2014

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→‎Chronic sialadenitis: split out
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==Chronic sialadenitis==
==Chronic sialadenitis==
:''Chronic sailolithiasis'' redirects here.
{{Main|Chronic sialadenitis}}
:''Sialadenitis'' redirects here.
===General===
*Occasionally associated with malignancy, e.g. [[adenoid cystic carcinoma]].<ref name=pmid21159490>{{cite journal |author=Hasegawa M, Cheng J, Maruyama S, ''et al.'' |title=Complication of adenoid cystic carcinoma and sialolithiasis in the submandibular gland: report of a case and its etiological background |journal=Int J Oral Maxillofac Surg |volume=40 |issue=6 |pages=647–50 |year=2011 |month=June |pmid=21159490 |doi=10.1016/j.ijom.2010.11.009 |url=}}</ref>
 
Etiology:<ref>URL: [http://emedicine.medscape.com/article/882358-overview http://emedicine.medscape.com/article/882358-overviewhttp://emedicine.medscape.com/article/882358-overview]. Accessed on: 10 January 2011.</ref>
*Infection.
*Autoimmune (e.g. [[Sjögren syndrome]], [[systemic lupus erythematosus]]).
*Other.
 
===Microscopic===
Features:
*Non-neoplastic mononuclear inflammatory infiltrate (lymphocytes, [[plasma cell]]s).
*Fibrosis.
*+/-Calcifications.
 
Note:
*If the infiltrate is predominantly lymphocytes Sjögren's is a possibility, and reporting a ''[[Focus score]]'' should be considered.
 
DDx:
*[[Lymphoma]] - especially [[MALT lymphoma]].<ref name=pmid22475637>{{Cite journal  | last1 = Beasley | first1 = MJ. | title = Lymphoma of the Thyroid and Head and Neck. | journal = Clin Oncol (R Coll Radiol) | volume =  | issue =  | pages =  | month = Apr | year = 2012 | doi = 10.1016/j.clon.2012.02.010 | PMID = 22475637 }}</ref>
 
====Image====
<gallery>
Image:Chronic_sialadenitis.jpg | Chronic sialadenitis. (WC/Nephron)
</gallery>
 
===Sign out===
<pre>
SUBMANDIBULAR GLAND, RIGHT, EXCISION:
- CHRONIC SIALOADENITIS.
- SIALOLITHIASIS.
- TWO BENIGN LYMPH NODES.
- NEGATIVE FOR MALIGNANCY.
</pre>
 
====Micro====
The sections show submandibular salivary gland with a mild patchy mixed mononuclear cell
infiltrate, fibrosis and a large benign calcification. No zonal necrosis is identified.
Significant nuclear atypia is not identified.


==Salivary gland mucocele==
==Salivary gland mucocele==
Michael
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