Quartz 4

13. Salivary Gland Diseases case 1

2 min read

Clinical Case Discussion Of Asymptomatic Oral Lesion

Patient Presentation and History1

A 48-year-old female presented with an asymptomatic oral lesion. The patient has been aware of the lesion’s presence for approximately two months.

Key Patient Factors:

  • Medical History: Non-contributory.
  • Social History: Non-smoker; does not consume alcohol.

Clinical Assessment And Diagnostic Activity

Clinical Assessment Activity

1. Identify the pathosis and describe the clinical features.

What can cause obstruction? 
   - infection, inflammation, scarring (from trauma) , sialolith, neoplasm

2. What is the differential diagnosis?

- Salivary gland neoplasm 
- SCC - could be blocking the duct 
-

3. What are the relevant clinical investigations?

- YOU DON'T NEED AN INVESTIGATION 
	- this looks like a mucocele and you don't have to do imaging 
- If you mucocele is small you can watch it, sometimes it can even resolve
  • Most you should do is a sialogram or a CT sialogram

4. What is the diagnosis?

  • mucocele in the submanddibular gland duct - the most common cause is a sialolith

5. How would you manage this patient?

  • these lesions should actually be removed to make sure that there isn’t anythign else there

Extra:

  • risk of recurrence is 10 percent
    • due to scarring from excision

Footnotes

  1. Original PDF page 1: 13. Salivary gland disease case 1, p.1 ↩

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