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Manual of Salivary Gland Diseases
B Sivapathasundharam
CHAPTER 1:
Introduction
CHAPTER 2:
Anatomy of Human Salivary Gland
INTRODUCTION
SALIVARY GLANDS
Embryology
MAJOR SALIVARY GLANDS
Parotid Gland
Submandibular Gland
Superficial Part
Sublingual Gland
MINOR SALIVARY GLANDS
MICROSTRUCTURE OF THE SALIVARY GLANDS
Serous Cells
Ultrastructural Features
Secretory Granules
Mucous Acini
Ultrastructural Features
PLASMA MEMBRANE MODIFICATIONS
Mucous Cell at Different Stages of Secretion has Different Appearances
Secretion of Mucous Droplets
Mechanism of Mucous Secretion is not Clearly Known
MYOEPITHELIAL CELL
DUCT SYSTEM
Intercalated Duct
Striated Duct (Intralobular Ducts)
Basal Specializations
Terminal Excretory Duct (Interlobular Ducts)
FUNCTIONS OF SALIVARY DUCT
CONNECTIVE TISSUE STROMA OF THE SALIVARY GLAND
CHAPTER 3:
Classification of Salivary Gland Diseases
CLASSIFICATION OF NON-NEOPLASTIC SALIVARY GLAND DISEASES
Developmental
Infectious and Inflammatory
Obstructive and Traumatic Lesions
Functional Disorders
Allergic and Immunologic Disorders
Metabolic and Hormonal Disorders
Ageing
Idiopathic
CLASSIFICATION OF SALIVARY GLAND NEOPLASMS
CHAPTER 4:
Non-neoplastic Diseases of Salivary Glands
DEVELOPMENTAL DISORDERS
Aplasia
Hypoplasia
Atresia
Aberrant Salivary Gland
Etiology
Clinical Features
Polycystic Disease of the Parotid Gland
ADENOMATOID HYPERPLASIA
Accessory Salivary Ducts
Diverticuli
INFECTIONS AND INFLAMMATORY DISORDERS (SIALADENITIS)
Bacterial Sialadenitis
Acute Bacterial Sialadenitis
Chronic Bacterial Sialadenitis
Viral Sialadenitis
Mumps (Epidemic Parotitis)
Clinical Features
Pathogenesis
Complications
Cytomegalic Inclusion Disease (Salivary Gland Inclusion Disease)
Clinical Features
Pathologic Features
HIV Associated Salivary Gland Disease (HIV-SGD)
Clinical Features
Pathological Features
OBSTRUCTIVE AND TRAUMATIC DISORDERS
Sialolithiasis
Etiology
Composition
Location
Clinical Features
Pathological Features
Diagnosis
Mucous Escape Reaction
Clinical Features
Histopathology
Mucous Retention Cyst
Clinical Features
Histopathology
Treatment and Prognosis
Salivary Duct Cyst
Clinical Features
Pathologic Features
Treatment and Prognosis
Necrotizing Sialometaplasia
Etiology
Clinical Features
Pathological Features
Radiation Induced Sialadenitis
Clinical Features
Pneumoparotid
Anesthetic Mumps
ALLERGIC AND IMMUNOLOGIC DISORDERS
Allergic Sialadenitis
Sjögren's Syndrome
Classification
Pathogenesis
Clinical Features
Oral Manifestations
Ocular Manifestations
Diagnostic Criteria
Diagnostic Methods
Histopathology
Malignant Transformation
Sialadenosis
Clinical Features
Pathologic Features
Iodide “Mumps”
AGING
Oncocytosis
Etiology
Clinical Features
Pathologic Features
Prognosis
CHAPTER 5:
Physiology and Functional Disorders of Salivary Glands
PHYSIOLOGY OF SALIVARY GLANDS
Production of Saliva
Primary Secretion
Secondary Modification
Fluid Dynamics
Salivary Secretion
Formation of Fluid
Nervous Control
Nerve Supply
Autonomic Innervation
Salivary Flow
Effects of Aging
Saliva
Composition of Saliva
Functions of Saliva
Diagnostic Application of Saliva
DYSFUNCTION OF SALIVARY GLANDS
FUNCTIONAL DISORDERS OF SALIVARY GLANDS
Sialorrhea (Drooling, Ptyalism or Excessive Salivation)
Etiology (Table 5.3)
Xerostomia (Dry Mouth)
Complications Associated with Xerostomia
Clinical Presentation
Diagnosis and Evaluation of Xerostomia
Sodium Retention Dysfunction Syndrome
Dysfunctions in Systemic Diseases
CHAPTER 6:
Histogenesis and Molecular Pathogenesis of Salivary Gland Tumors
INTRODUCTION
ETIOLOGY
Viruses
Radiation
Occupation
Lifestyle and Nutrition
Hormones
HISTOGENESIS
HISTOGENESIS AND MOLECULAR GENETICS OF BENIGN SALIVARY GLAND TUMORS
Pleomorphic Adenoma
Histogenesis
Origin of Cartilage
Molecular Genetics
Myoepithelioma
Warthin's Tumor (Adenolymphoma, Papillary Cystadenoma Lymphomatosum)
Etiology
Histogenesis
Molecular Genetics
Oncocytic Lesions (Oncocytosis, Oncocytoma and Oncocytic Carcinoma)
Basal Cell Adenoma
Canalicular Adenoma
Ductal Papillomas
Sebaceous Adenoma and Sebaceous Lymphadenoma
HISTOGENESIS OF MALIGNANT SALIVARY GLAND TUMORS
Acinic Cell Carcinoma
Histogenesis
Molecular Genetics
Mucoepidermoid Carcinoma
Histogenesis
Molecular Genetics
Adenoid Cystic Carcinoma
Histogenesis
Molecular Genetics
Polymorphous Low Grade Adenocarcinoma (Terminal Duct Carcinoma, Lobular Carcinoma, Low Grade Papillary Adenocarcinoma)
Histogenesis
Molecular Genetics
Basal Cell Adenocarcinoma
Molecular Genetics
Salivary Duct Carcinoma
Molecular Genetics
Myoepithelial Carcinoma
Histogenesis
Carcinoma Ex-Pleomorphic Adenoma
Histogenesis
Cell Types that Undergo Malignant Change in Pleomorphic Adenoma
Molecular Genetics
Sialoblastoma
Histogenesis
Clear Cell Carcinoma and Hyalinizing Clear Cell Carcinoma
TUMOR PROGRESSION IN SALIVARY GLAND TUMORS
Dedifferentiation in Salivary Gland Tumors
CONCLUSION
CHAPTER 7:
Benign Tumors of Salivary Glands
PLEOMORPHIC ADENOMA (MIXED TUMOR)
Clinical Presentation
Macroscopic Features
Microscopic Features
Epithelial Component
Myoepithelial Component
Stroma
Histologic Classification of Pleomorphic Adenomas
Differential Diagnosis
MYOEPITHELIOMA
Clinical Features
Microscopic Features
Differential Diagnosis
PAPILLARY CYSTADENOMA LYMPHOMATOSUM (WARTHIN'S TUMOR)
Clinical Features
Macroscopic Features
Microscopic Features
Histologic Classification
Differential Diagnosis
CANALICULAR ADENOMA
Clinical Presentation
Macroscopic Features
Microscopic Features
Differential Diagnosis
BASAL CELL ADENOMA
Clinical Presentation
Macroscopic Features
Microscopic Features
Solid Type
Tubular Type
Trabecular Type
Basal Cell Adenoma with Myoepithelium-Derived Stroma
Membranous Type
Differential Diagnosis
ONCOCYTOMA (OXYPHILIC ADENOMA)
Pathogenesis
Clinical Features
Macroscopic Features
Microscopic Features
Differential Diagnosis
DUCTAL PAPILLOMAS
Sialadenoma Papilliferum
Histogenesis
Clinical Features
Macroscopic Features
Microscopic Features
Ultrastructural Findings
Differential Diagnosis
Inverted Ductal Papilloma
Clinical Features
Macroscopic Features
Microscopic Features
Differential Diagnosis
Intraductal papilloma
Clinical Features
Macroscopic Features
Microscopic Features
Differential Diagnosis
CYSTADENOMA
Clinical Features
Macroscopic Features
Microscopic Features
Differential Diagnosis
SEBACEOUS ADENOMA AND SEBACEOUS LYMPHADENOMA
LIPOADENOMA
LYMPHADENOMA
CHAPTER 8:
Malignant Tumors of the Salivary Glands
CLINICAL FEATURES
BEHAVIOR OF MALIGNANT SALIVARY GLAND TUMORS
Grading
Staging
MORPHOLOGY
ACINIC CELL ADENOCARCINOMA
Clinical Features
Macroscopic Features
Microscopic Features
Solid Pattern
Microcystic Pattern
Papillary-cystic Pattern
Follicular Pattern
Dedifferentiated Acinic Cell Carcinoma
Differential Diagnosis
Prognosis
MUCOEPIDERMOID CARCINOMA
Clinical Features
Macroscopic Features
Microscopic Features
Mucous Cells
Epidermoid or Squamoid Cells
Intermediate Cells
Clear Cells
Grading of Mucoepidermoid Carcinomas
Armed Forces Institute of Pathology Grading
Low Grade Mucoepidermoid Carcinoma
Intermediate Grade Mucoepidermoid Carcinoma
High Grade Mucoepidermoid Carcinoma
Central Mucoepidermoid Carcinoma
Differential Diagnosis
Prognosis
ADENOID CYSTIC CARCINOMA
Clinical Features
Macroscopic Features
Microscopic Features
Cribriform Pattern
Tubular Pattern
Solid Pattern
Differential Diagnosis
Prognosis
POLYMORPHOUS LOW GRADE ADENOCARCINOMA
Clinical Features
Microscopic Features
Differential Diagnosis
Prognosis
EPITHELIAL-MYOEPITHELIAL CARCINOMA
Clinical Features
Macroscopic Features
Microscopic Features
Differential Diagnosis
Prognosis
CLEAR CELL ADENOCARCINOMA
Clinical Features
Macroscopic Features
Microscopic Features
Differential Diagnosis
Prognosis
BASAL CELL ADENOCARCINOMA
Clinical Features
Microscopic Features
Differential Diagnosis
Prognosis
SEBACEOUS ADENOCARCINOMA
Clinical Features
Macroscopic Features
Microscopic Features
Prognosis
SEBACEOUS LYMPHADENOCARCINOMA
Clinical Features
Macroscopic Features
Microscopic Features
Prognosis
CYSTADENOCARCINOMA
Clinical Features
Macroscopic Features
Microscopic Features
Differential Diagnosis
Prognosis
MUCINOUS ADENOCARCINOMA
Clinical Features
Macroscopic Features
Microscopic Features
Differential Diagnosis
Prognosis
ONCOCYTIC CARCINOMA
Clinical Features
Macroscopic Features
Microscopic Features
Differential Diagnosis
Prognosis
SALIVARY DUCT CARCINOMA
Clinical Features
Macroscopic Features
Microscopic Features
Variants
Differential Diagnosis
Prognosis
INTRADUCTAL CARCINOMA
Clinical Features
Microscopic Features
Differential Diagnosis
Prognosis
ADENOCARCINOMA NOT OTHERWISE SPECIFIED
Clinical Features
Macroscopic Features
Microscopic Features
Grading of ANOS
Variants
Differential Diagnosis
Prognosis
MYOEPITHELIAL CARCINOMA
Clinical Features
Macroscopic Features
Microscopic Features
Differential Diagnosis
Prognosis
MALIGNANT MIXED TUMORS
CARCINOMA EX-PLEOMORPHIC ADENOMA
Clinical Presentation
Macroscopic Features
Microscopic Features
Differential Diagnosis
Prognosis
CARCINOSARCOMA
Clinical Features
Macroscopic Features
Microscopic Features
Differential Diagnosis
Prognosis
METASTASIZING PLEOMORPHIC ADENOMA
Clinical Features
Macroscopic Features
Microscopic Features
Differential Diagnosis
Prognosis
PRIMARY SQUAMOUS CELL CARCINOMA
Clinical Features
Macroscopic Features
Microscopic Features
Differential Diagnosis
Prognosis
ADENOSQUAMOUS CARCINOMA
Clinical Features
Microscopic Features
Differential Diagnosis
Prognosis
UNDIFFERENTIATED CARCINOMAS
Small Cell Undifferentiated Carcinoma
Clinical Presentation
Macroscopic Features
Microscopic Features
Differential Diagnosis
Prognosis
Large Cell Undifferentiated Carcinoma
Clinical Features
Macroscopic Features
Microscopic Features
Differential Diagnosis
Prognosis
Lymphoepithelial Carcinoma
Clinical Features
Microscopic Features
Differential Diagnosis
Prognosis
HYALINIZING CLEAR CELL CARCINOMA
Prognosis
SIALOBLASTOMA
Clinical Presentation
Macroscopic Features
Microscopic Features
Differential Diagnosis
Prognosis
MESENCHYMAL TUMORS
LYMPHOMAS
Origin
Lymphomas Arising in Intraglandular or Juxtaglandular Lymph Nodes
Lymphomas Arising in the Salivary Gland Proper
LOW GRADE B-CELL MALT LYMPHOMA
Clinical Presentation
Prognosis
DIFFUSE LARGE B-CELL LYMPHOMA
PRIMARY T-CELL LYMPHOMA OF THE SALIVARY GLAND
METASTATIC TUMORS
OTHER ENTITIES
Hybrid Carcinomas
CHAPTER 9:
Investigations of Salivary Glands
INTRODUCTION
CLINICAL SIGNS AND SYMPTOMS
DIAGNOSTIC APPROACH OF A PATIENT WITH SALIVARY GLAND DISEASE
Evaluation of Xerostomia
Saliva Collection and Sampling
Sialometry
Sialochemistry—A diagnostic tool
Sialochemistry could Provide Valuable Information Regarding
Routine Laboratory Investigations
Sialochemistry in Salivary Gland Disease
Etiological Factors
Saliva and Hepatitis
SALIVARY GLAND IMAGING
Plain Films
Intraoral Radiography
Extraoral Radiography
Sialography
Indications
Contrast Media
Armamentarium
Parotid Gland Study (Fig. 9.4)
Submandibular Gland Study
Digital Subtraction Sialography
Advantages
Disadvantages
ULTRASONOGRAPHY
Acute and Chronic Sialadenitis
Sjögren's Syndrome
Sarcoidosis
Sialolithiasis
Sialadenosis
Pleomorphic Adenoma
Cystadenolymphoma (Warthin's Tumor)
MALIGNANT TUMORS OF THE SALIVARY GLANDS
THERMOGRAPHY
COMPUTED TOMOGRAPHY
Indications
Advantages
MAGNETIC RESONANCE IMAGING
3D Magnetic Resonance Imaging
Magnetic Resonance Spectroscopy
ANGIOGRAPHY
RADIONUCLIDE SALIVARY STUDIES
Positron Emission Computed Tomography and Single Photon Emission Computed Tomography Scanning
Catheter Dilation and Endoscopy
Indications
Limitations
SALIVARY HORMONE PROFILE
Salivary Hormone Testing
Benefits of Salivary Hormone Testing
Hormones Tested in Saliva
FINE NEEDLE ASPIRATION CYTOLOGY
SALIVARY GLAND BIOPSY
CONCLUSION
CHAPTER 10:
Management of Salivary Gland Diseases
INFECTIOUS AND INFLAMMATORY DISEASES
Acute Sialadenitis
Chronic Sialadenitis
Necrotizing Sialometaplasia
Mumps
Tuberculosis
Sarcoidosis
IMMUNOLOGIC INFLAMMATORY DISORDERS
Sjögren's Syndrome
Management of oral Disease
Management of Ocular Disease
FUNCTIONAL DISORDERS
Xerostomia
Sialogogues
Tissue Engineering
Drooling
Medical Therapy
Behavioral Training
Pharmacological Therapy
Radiotherapy
Surgical Therapy
OBSTRUCTIVE DISEASES
Sialolithiasis
Mucous Retention Phenomenon
TUMORS OF SALIVARY GLAND
Benign Tumors
Malignant Tumors
Stage I Major Salivary Gland Cancer
Stage II Major Salivary Gland Cancer
Stage III Major Salivary Gland Cancer
Stage IV Major Salivary Gland Cancer
Surgical Anatomy
Parotidectomy
Complications of Parotidectomy
Submandibular Gland Surgery
Minor Salivary Gland Resection
Prognosis
INDEX
TOC
Index
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