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Pathology of Salivary Gland

This document discusses the pathology of salivary gland disorders categorized into developmental, infectious, cystic, obstructive, autoimmune, and neoplastic disorders. Infectious disorders include acute and chronic bacterial sialadenitis and viral sialadenitis caused by mumps. Cystic disorders include mucous retention cysts, mucous extravasation cysts (mucoceles), and ranulas. Obstructive disorders include sialolithiasis, where calculi form in salivary gland ducts. Autoimmune disorders include Sjogren's syndrome, where lymphocytic infiltration causes dry mouth and atrophy. Neoplastic disorders include pleomorphic adenoma, mucoepidermoid carcinoma, and

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55 views27 pages

Pathology of Salivary Gland

This document discusses the pathology of salivary gland disorders categorized into developmental, infectious, cystic, obstructive, autoimmune, and neoplastic disorders. Infectious disorders include acute and chronic bacterial sialadenitis and viral sialadenitis caused by mumps. Cystic disorders include mucous retention cysts, mucous extravasation cysts (mucoceles), and ranulas. Obstructive disorders include sialolithiasis, where calculi form in salivary gland ducts. Autoimmune disorders include Sjogren's syndrome, where lymphocytic infiltration causes dry mouth and atrophy. Neoplastic disorders include pleomorphic adenoma, mucoepidermoid carcinoma, and

Uploaded by

kadija
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Pathology of salivary gland

(clinical part)
Dr. Kadija bamashmoos
Pathology of salivary gland
.developmental disorders of salivary glands -1

.infectious disorders of salivary glands -2


.cystic disorders of salivary glands -3
.obstructive disorders of salivary glands -4

.autoimmune disorders of salivary glands -5


.neoplasm of salivary glands -6
.Infectious disorders of salivary glands
Acute bacterial sialadenitis

.Painful parotid enlargement , tender to palpation -


.The overlying skin may be reddened -
.Pus may be expressed from effected duct -
Chronic bacterial sialadenitis

.Parotid sialogram -
Demonstrate ductal dilatation adjacent to any area of -
.obstruction
.Dilatation of the ductal system -
.Hyperplasia of duct epithelium -
.Periductal fibrosis and acinar atrophy with replacement fibrosis -
.Chronic inflammatory cell infiltration -
Viral sialadenitis (mumps)

.Bilateral enlargement of parotid gland -


.Earlobe is often elevated -
cystic disorders of salivary glands
Mucous retention cyst Mucous extravasations cyst
Mucocele

Presented as dome shaped elevation on the lower lip and ventral surface
.of the tongue
Ranula

.Large bluish, translucent swelling in the floor of the mouth -


.Caused by mucous extravasations or retention cyst -
Occurs when spilled mucin discrete through the mylohyoid
.muscle .produces swelling in the neck
obstructive disorders of salivary glands
Sialolithiasis

Submandibular gland - Calculi found in the duct

.swelling
Sudden pain and enlargment -
Intraoral radiograph showing - .Intraductal calcified mass

stone in suubmandibular salivary


.gland duct
Autoimmune disorders of salivary glands.
Sjogren’s syndrom

.Dry mouth, red, atrophic and wrinkled -


.Candidal infection -
.Atrophy of papilla -
.Angular chelitus -
Patient with bilateral swelling of parotid .Extensive cervical caries
gland
.Lymphocytic infiltration -
acinar atrophy but the ductal epithelium may show -
proliferation. This hyperplasia obliterates the duct lumen leading
.to islands of epithelial tissue in a sea of lymphocytes
neoplasm of salivary glands
.Benign neoplasm of salivary gland
Pleomorphic adenoma

.Of parotid gland -


.small, firm nodule, slowly growing tumor -
.B. Malignant neoplasm of salivary gland
Mucoepidermoid carcinoma
A mixture of mucous cells, epidermoid cells surrounding a
.cystic space
Adenoid carcinoma

.slowly growing, firm mass -


.Palatal tumor show mucosal ulceration, bleeding -
.A mixture of ductal and myoepithelial cells

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