Diseases of Salivary Glands Lab

7/30/2019 Diseases of Salivary Glands Lab

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Diseases Of Salivary Glands


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This histological section

is taken from one of the

major salivary glands

1- What is the type of

Acini present?!

2- What is the most

3- Through what duct

this gland drains its

saliva into the oral

cavity?!


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Acini present?!

2- What is the most




cavity?!


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Acini present?!

2- What is the most




cavity?!


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These clinical pictures

show the various

locations of minor

salivary glands in the

oral cavity


Acini present?!

2- Name threedifferent locations

where such glands

cant be found?!


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This 50 years old female is presented

to the clinic for routine dental

examinationunilateral mildlyUpon examination,

tender swelling of the submandibular

is foundgland region

This is the result of the biopsy done!

1- What is the most likely diagnosis?!

- a a cau uc

condition?!

3- What in the history of the patient might

confirm diagnosis?!

4- Of the major salivary glands, which is

more commonly involved?!

5- Whats the best tool to diagnose duct

obstruction and glandular tissuedestruction in this condition?!


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Give me 3

differentialdiagnoses for

this

histologicalappearance!!


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This histological section from one

of the major salivary glands was

sent to you to reach definitivediagnosis

1- Describe this histological

appearance?!


3- What is the main cause behind such

condition?!

4- What is the structure represented by

the circle?!


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examinationbilateral painlessUpon examination,

isswelling of the parotid gland region

found



- a cau co o

3- Of the salivary glands, which are more

commonly involved?!

4- When lacrimal glands are also involved,

then the condition is?!


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Non-caseating

granuloma

(macrophages)

SarcoidosisLymphocytes


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examinationthis yellowishUpon examination,

discoloration of the orifice of

Wharton's duct was noticed



- a va y a , w c a o

commonly involved?!

3- What are the clinical features of this

condition?!


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Sialolith

Hyperplasticductal

epithelium

Salivary Calculus (Sialolith)


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This 30 years old male is

presented to the clinic for

consultationtwo deepUpon examination,

like ulcers were found on-crater

the hard palate

The patient states that theseulcers were just a swelling one

week ago

done!


2- What causes this condition?!

3- What is the clinical and histological

differential diagnosis for such

ulcers?!?!

4- Whats your management?!


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Lobular Necrosis Sequamous Metaplasia

Necrotizing Sialometaplasia


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Necrotizing Sialometaplasia

May start as small ulcerMay start as indurated swelling


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consultationoralUpon examination,

tissues looked dry,

smooth and glazed and

the tongue lookedatrophic, fissured and

Lobulated

dry gritty eyes

1- What is the cause of this

intraoral finding?!

2- What is the cause of this

ophthalmic finding?!

3- What is the most likely

diagnosis?!


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consultationoralUpon examination,

tissues looked dry, smooth

and glazed and the tongue

looked atrophic, fissured andLobulated

dryPatient complains from

1- Into how many categories this

condition is classified?!

rheumatoidIf this patient has-2

, then to what category youarthritis

can relate him?!

3- What are the components of the

European criteria to reach the finaldiagnosis?!


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This 65 years old male is presented to

the clinic for consultation

oral tissues lookedUpon examination,dry, smooth and glazed and the tongue

looked atrophic, fissured and

Lobulated

dry gritty eyesPatient complains from

1- Whom are mainly affected: males or

females?!

2- Into which category, oral and ocularsymptoms are more severe?!

3- What are the most important histological

features seen?!

4- What are the most important

investigatory methods?!

5- What is the most important

complication?!


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Lymphocytic infiltration

Sjgren syndrome


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Sjgren syndrome


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Snowstorm or cherry tree in blossom

Sjgren syndrome


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This 40 years old male is presented

to the clinic for consultation

Upon examination, Slowly growing,painless, rubbery swelling with

intact overlying skin or mucosa is

present

Patient is aware of lesion forseveral years

This is the result for the biopsy


2- Of the salivary glands, which is more

commonly involved?!?!


histological features seen?!

4- What is the best treatment option and

why?!


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Pleomorphic adenoma


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Pleomorphic adenoma


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Pleomorphic adenoma

Hyalinization Chondroid


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Keratin pearl

Pleomorphic adenoma


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Upon examination, Slowly growing,

painless, rubbery swelling is

present

Patient is aware of lesion for

several years

This is the result for the biopsy

done!





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Warthin Tumor


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These histological sections were

sent to you to reach final diagnosis





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Canalicular adenoma



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Upon examination, Slowly growing,painless, rubbery swelling with

intact overlying skin or mucosa is

present

1- Give me 2 clinical differential

diagnoses?!

- ccor ng to t e sto og ca eatures,

what is the most likely diagnosis?!

2- Of the salivary glands, which is more

commonly involved?!?!

3- What are the most importanthistological features seen?!

4- What are the characteristic features of

low and high grade variants of the

condition?!


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Intermediatecells

Mucous cells Epidermoid cells

Mucoepidermoid

carcinoma


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High grade

Mucoepidermoid

carcinoma


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MucoepidermoidDifferentiation between High grade

carcinoma and Sequamous cell carcinoma through PAS stain



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y


consultationUpon examination, this oral

ulceration is seen

1- Give me 3 clinical differential

diagnoses?!

2- According to the histological

,

diagnosis?!


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These histological sections were

sent to you to reach final diagnosis

facialThe patient is present with

palsy and neurological

onsmanifestati


2- What are the most important histological

features seen?!

3- Is radiotherapy an acceptable treatment?!

4- Which carry better prognosis: cribriform or

solid types?!

Diseases of Salivary Glands Lab

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