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Printable Handouts
Navigable Slide Index
- Introduction
- Management of salivary neoplasms
- Parotidectomy sample
- Histology
- Complications
- The facial nerves
- Superficial parotidectomy
- The anatomy (1)
- A clinical picture (1)
- The anatomy (2)
- A clinical picture (2)
- The anatomy (3)
- A clinical picture (3)
- Parotidectomy for salivary neoplasms
- Radical parotidectomy
- Mucoepidermoid carcinoma (2)
- Facial nerve and parodectomy
- Mucoepidermoid carcinoma (3)
- Mucoepidermoid carcinoma surgery
- Malignant pleomorphic adenoma (1)
- Malignant pleomorphic adenoma (2)
- Malignant submandibular tumour
- Minor salivary gland tumours
- Adenoid cystic carcinoma
- Degenerative disorders
- Sjogren's syndrome types
- Sjogren's syndrome symptoms
- Secondary Sjogren’s
- Punctate sialectasis
- End stage sialectasis
- Mikulicz’s syndrome: Multiple exocrine lymphomas
- Lymphoma risk
- Salivary lymphoma
- HIV disease (MR scan)
- Age changes
- References
Topics Covered
- Management of salivary neoplasms
- Swelling of the salivary glands due to neoplasms, degenerative conditions and sialosis and age changes
- Clinical appearances of the different causes of swelling
Links
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Categories:
Therapeutic Areas:
Talk Citation
Langdon, J.D. (2017, February 28). Lumps and swellings of the salivary glands 2 [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved October 13, 2024, from https://doi.org/10.69645/QIEC6663.Export Citation (RIS)
Publication History
Financial Disclosures
- Prof. Emeritus John D. Langdon has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.
Lumps and swellings of the salivary glands 2
Published on February 28, 2017
23 min
Transcript
Please wait while the transcript is being prepared...
0:00
This is part two
of my talk on swellings
and lumps arising
in the salivary gland tissue.
It's Professor John Langdon
once again.
We'll start with management
of salivary gland neoplasms.
0:17
I'm not, in this talk,
talking very much about
management
of salivary gland diseases at all
because it's not your remit
but there are some important
background points to make.
This slide repeats
what I've labored previously
that the majority of tumors arise
in the parotid
and 75% of them are benign.
0:39
This slide is a specimen
of superficial parotidectomy,
and you're looking
at the deep aspect.
And you can see
at the edge of the specimen
is the normal healthy
parotid tissue
of the superficial lobe.
Within that, you can see
a benign pleomorphic adenoma
which is lobulated
and is not covered by normal
unaffected parotid tissue.
In other words, when you dissect
in the plane of the facial nerve,
more often than not,
the nerve is in direct contact
with the tumor.
1:21
This is the histology
of that specimen
showing one of the oscillations
or nodules arising
from the pleomorphic adenoma.
And you can see that the capsule
is deficient around
the actual nodule.
Now this means that
although we talk about
formal parotidectomy
with the dissection
of the facial nerve
as being the gold standard
for the management
of parotid tumors,
we kid ourselves
if we think
we're removing the tumor
with a cuff of unaffected tissue,
we're not.