Difference between revisions of "Salivary glands"

Salivary glands (view source)

1,270 bytes removed , 23:43, 13 July 2013

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 ==Warthin tumour==
-*[[AKA]] ''papillary cystadenoma lymphomatosum''.
+{{Main|Warthin tumour}}
-===General===
-Epidemiology:
-*May be multicentric ~ 15% of the time.
-*May be bilateral ~10% of the time.
-*Classically: male > female -- changing with more women smokers.
-*Smokers.
-*Old - usu. 60s, very rarely < 40 years old.
-Notes:
-*No malignant transformation.
-*Not in submandibular gland.
-*Not in sublingual gland.
-*Not in children.
-===Gross===
-*Motor-oil like fluid.
-*Cystic component larger in larger lesions.
-**Small lesions may be solid.
-Image:
-*[http://www.flickr.com/photos/bc_the_path/2510239905/in/photostream/ Warthin tumour (flickr.com)].
-===Microscopic===
-Features:
-* Papillae (nipple-shaped structures) with a two rows of pink (eosinophilic) epithelial cells (with cuboidal basal cells and columnar luminal cells) -- '''key feature'''.
-* Fibrous capsule - pink & homogenous on [[H&E stain]].
-* Cystic space filled with debris ''in situ'' (not [[necrosis]]).
-* Lymphoid stroma.
-Notes:
-*+/-Squamous differentiation.
-*+/-Goblet cell differentiation.
-DDx:
-*Lymphoepithelial cyst.
-**Cyst within a lymph node.
-====Images====
-<gallery>
-Image:Papillary_cystadenoma_lymphomatosum3.jpg | Warthin tumour - high mag. (WC/Nephron)
-Image:Papillary_cystadenoma_lymphomatosum2.jpg | Warthin tumour - intermed. mag. (WC/Nephron)
-</gallery>
 ==Sebaceous adenoma==