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lunalovegood's version from 2017-04-13 03:38

Section 1

Question Answer
Wharton's duct AKA duct for ____ glandsubmandibular
List Major glands from most serous to most mucousparotid, submandibular, sublingual
Salivary stones AKAsialolithiasis
Mucocele sitelower lip (rarely seen intraorally)
Mucocele site childrenventral of tongue
Cyst of Blandin Nuhn AKAmucocele on ventral of tongue in children
Mucoele on FOM AKARanula
Deeply seated Ranula AKAplunging ranula (inferior to mylohyoid)
Can compromise airwayPlunging Ranula
Inflammatory exudate in sinus floorantral pseudocyst
Antral pseudocysts can be caused by...allergy or odontogenic infection
Radiopacity in maxillary sinus...antral pseudocyst
Salivary duct cyst siteupper lip, palate, lining of mucosa
Name 2 differential dx for mucocele and salivary duct cyst1. Cystic mucoepidermoid carcinoma 2. Hemangioma
Sialolithiasis MOST COMMON siteWharton's duct
Sialolithiasis name 3 sitesWharton's duct, Stenson's duct, minor glands of upper lip
Sialolithiais appears best on ___ image.occlusal
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Section 2

Question Answer
Mucocele TXsurgical excision of lesion and feeding glands
Ranula TXexcision or marsupilization
Antral pseudocysts TXasymptomatic? NONE symptomatic/infected? curettage
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Section 3

Question Answer
Most common salivary neoplasmMixed tumor (pleomorphic adenoma)
Salivary gland tumors - gender?female
Salivary gland tumors - location?Parotid (65%)
____ 65%, ___ 25%, ____ 10%, ____ 1%Parotid, accessory, submandibular, sublingual
Pleomorphic Adenoma - location?parotid (palate) (upper lip)
Pleomorphic Adenoma - age?wide range
Pleomorphic Adenoma- recurrence?8%
Parotid surgery - Gustatory due to reinnervation to sweat glandFrey's Syndrome
Pleomorphic Adenoma - malignant transformation?8%
Benign salivary gland tumor w/ limited growth potentialWarthin's Tumor (papillary cystadenoma lymphomatosum)
Warthin's tumor - gender?male
Warthin's tumor - location?parotid
Warthin's tumor - age?adult
Warthin's tumor - strong association with?smoking
Prominent cystic spaces w/ intraluminal papillary projections & lymphoid rich stromaWarthin's Tumor
Benign salivary gland tumor w/ anastomosing & branching "canal-like" structurescanalicular adenoma
Canalicular adenoma - location?minor salivary glands in upper lip (75%)
Canalicular adenoma - recurrence?rare
Canalicular adenoma - malignant transformation?not reported
Most common malignant salivary gland neoplasmMucoepidermoid carcinoma
Mucoepidermoid carcinoma - location?parotid > minor salivary glands of palate, retromolar pad, FOM, tongue
Mucoepidermoid carcinoma - in bone?central mucoepidermoid carcinoma
Mucoepidermoid carcinoma - mucocele-like?cystic low grade
Mucoepidermoid carcinoma - age?wide range
Mucoepidermoid carcinoma grade - cystic, many mucous, few epidermoidlow grade
Mucoepidermoid carcinoma grade - <20% cystic spacesintermediate grade
Mucoepidermoid carcinoma grade - solid, many epidermoid, few mucoushigh grade
Mucoepidermoid carcinoma - high grade - deadly? 50%
Central mucoepidermoid carcinoma - develops from?odontogenic cysts (or de novo from entrapped salivary glands)
Central mucoepidermoid carcinoma - grade?generally low grade
Mucoepidermoid carcinoma high grade - recurrence?75%
High grade salivary gland cancerAdenoid cystic carcinoma
Adenoid cystic carcinoma - tendency?neurotropism
Adenoid cystic carcinoma - recurrence?high
Adenoid cystic carcinoma - malignant transformation?late metastasis
Adenoid cystic carcinoma - prognosis?poor
Adenoid cystic carcinoma - age?60s
Adenoid cystic carcinoma - location?parotid, submandibular, palate
Cribriform "swiss cheese" patternAdenoid cystic carcinoma
Polymorphous low grade adenocarcinoma - location?palate
Polymorphous low grade adenocarcinoma - age?>50s
Polymorphous low grade adenocarcinoma - recurrence?30%
Polymorphous low grade adenocarcinoma - metastasis to LN?10%
Polymorphous low grade adenocarcinoma - prognosis?good
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Section 4

Question Answer
Long durationbenign
short durationmalignant
Asymptomaticbenign
Painful, nerve paresthesiamalignant
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