Quartz 4

14. Salivary Gland diseases case 2

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Clinical Case Discussion Of Asymptomatic Mucosal Swelling

Patient Presentation and History1

A 40-year-old male presented with an asymptomatic mucosal swelling. The patient was unaware of the lesion’s presence; it was discovered coincidentally during a routine dental examination.

  • Medical History: Non-contributory.
  • Social History:
    • Smoker for 10 years (15 cigarettes per day).
    • Consumes 2 alcoholic drinks per day.

Case Description and Patient History

Clinical Case Activity

1. Identify the pathosis and describe the clinical features.

2. What is the differential diagnosis?

  • Salivary Gland tumour such as pleomorphic adenoma or mucoepidermal carcinoma
  • pyogenic granuloma
  • Fibroepithelial polyp
  • Squamous cell carcinoma

3. What are the relevant clinical investigations?

most common locations for salivary gland tumours are upper lip and palate:

  • we want to do an incisional biopsy because:
    • a benign salivary gland tumour has a very different excision than a malignant one
  • histology:
    • cellular pleomorphism
    • hyperchromatism , dark staining
    • mucin collections
    • mucoepidermal tumour characteristics
    • low grade:
      • theres more mucin, which means its still well-differentiated

4. What is the diagnosis?

5. How would you manage this patient?

Footnotes

  1. Original PDF page 1: 14. Salivary gland disease case 2, p.1 ↩

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