Lesion information + case 2

Inflammation of the salivary glands can arise from various infectious and noninfectious causes. The most common viral infection is mumps Location: Salivary Glands ( Minor, major). Age: depending on exposure to the etiology Etiology: -Viral infection -Most bacterial infections arise as a result of ductal obstruction or decreased salivary flow, allowing retrograde spread of bacteria throughout the ductal system CLINICAL Features: The affected gland is swollen and painful, and the overlying. skin may be warm and erythematous. An associated low-grade fever and trismus may be present. A purulent discharge often is observed from the duct orifice when the gland is massaged. HISTOPATHOLOGIC FEATURES: accumulation of neutrophils is observed within the ductal system and acini. Chronic sialadenitis is characterized by scattered or patchy infiltration of the salivary parenchyma by lymphocytes and plasma cells. Atrophy of the acini feature ductal dilatation. If associated fibrosis is present, then the term chronic sclerosing sialadenitis is used. TREATMENT AND PROGNOSIS: The treatment of acute sialadenitis includes appropriate antibiotic therapy and rehydration of the patient to stimulate salivary flow. Surgical drainage may be needed if there is abscess formation. Early cases that develop secondary to ductal blockage may respond to removal of the sialolith or other obstruction.

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Transcript of Lesion information + case 2

Inflammation of the salivary glands can arise from various infectious and noninfectious causes. The most common viral infection is mumps Location: Salivary Glands ( Minor, major).

Age: depending on exposure to the etiology

Etiology: -Viral infection -Most bacterial infections arise as a result of ductal obstruction or decreased salivary flow, allowing retrograde spread of bacteria throughout the ductal system CLINICAL Features: The affected gland is swollen and painful, and the overlying. skin may be warm and erythematous. An associated low-grade fever and trismus may be present. A purulent discharge often is observed from the duct orifice when the gland is massaged. HISTOPATHOLOGIC FEATURES: accumulation of neutrophils is observed within the ductal system and acini. Chronic sialadenitis is characterized by scattered or patchy infiltration of the salivary parenchyma by lymphocytes and plasma cells. Atrophy of the acini feature ductal dilatation. If associated fibrosis is present, then the term chronic sclerosing sialadenitis is used.

TREATMENT AND PROGNOSIS: The treatment of acute sialadenitis includes appropriate antibiotic therapy and rehydration of the patient to stimulate salivary flow. Surgical drainage may be needed if there is abscess formation. Early cases that develop secondary to ductal blockage may respond to removal of the sialolith or other obstruction.

A 70-year-old female patient was referred to department of Oral Medicine and Radiology with a chief complaint of a swelling in left side of neck since 12 days and pain in swelling since 10 days. Pain was increased in intensity while swallowing. Patient gives no history of fever and difficulty in eating and speaking. Patient noticed that initially swelling was initially small in size and gradually increase to present size of 4-3 cm. The patient’s medical history was unremarkable

Case 2

References:

http://bestpractice.bmj.com/best-

practice/images/bp/en-gb/1038-

5_default.jpg

Oral and maxillofacial Pathology by

Neville, 3ed edition

http://www.hindawi.com/journals/cri

d/2012/615375/