Salivary gland tumor physical examination: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
(Created page with "__NOTOC__ {{Salivary gland tumor}} {{CMG}} ==Overview== ==References== {{reflist|2}} {{WH}} {{WS}} Category:Disease Category:Oncology")
 
(Mahshid)
 
(17 intermediate revisions by 4 users not shown)
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Salivary gland tumor}}
{{Salivary gland tumor}}
{{CMG}}
{{CMG}}; {{AE}} {{KS}}{{Simrat}}
==Overview==
==Overview==
Common physical examination findings of salivary gland  cancer include painless, firm swelling in one of the salivary gland, [[cervical]] [[lymphadenopathy]], [[difficulty swallowing]], trouble opening the mouth widely, difficulty moving one side of the face and muscle [[weakness]] on one side of the face suggestive of [[cranial nerve VII]] deficit, loss of [[corneal reflex]], localized or regional pain, [[numbness]], paresthesia, [[causalgia]], or a loss of motor function suggestive of [[cranial nerve]] V deficit.<ref name="CCS">  Salivary gland cancer. Canadian cancer society(2015)http://www.cancer.ca/en/cancer-information/cancer-type/salivary-gland/signs-and-symptoms/?region=sk Accessed on November 8, 2015</ref>
==Physical Examination==
Physical examination should document size of the mass, mobility of the mass, fixation of the mass to the overlying skin or to the deep structures, pain with palpation, any limitation in jaw opening, buccal involvement or pharyngeal asymmetry, skin or scalp lesions indicative of primary malignancy.
===HEENT===
Fluid draining from the ear
===Neck===
*Painless, firm swelling or a [[lump]] in one of the salivary glands
*[[Cervical]] [[lymphadenopathy]]
*[[Difficulty swallowing]]
*Trouble opening the mouth widely<ref name="CCS">  Salivary gland cancer. Canadian cancer society(2015)http://www.cancer.ca/en/cancer-information/cancer-type/salivary-gland/signs-and-symptoms/?region=sk Accessed on November 8, 2015</ref>
===Neuromuscular===
*Difficulty moving one side of the face and muscle weakness on one side of the face suggestive of [[cranial nerve VII]] deficit
*Loss of [[corneal reflex]], localized or regional pain, [[numbness]], [[paresthesia]], [[causalgia]], or a loss of motor function suggestive of loss of [[cranial nerve]] V deficit
*[[Facial nerve]] [[weakness]]
[http://www.peir.net Images courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology]
===Neck===
<div align="left">
<gallery heights="175" widths="175">
Image:Salivary gland enlargement 1.jpg|SALIVARY GLANDS: MIXED TUMOR OF PAROTID. The pre-auricular mass had enlarged to this size over a period of 5 years.(Courtesy of Dr. Charles E. Tomich, Indianapolis, IN.)
Image:Salivary gland enlargement 2.jpg|SALIVARY GLANDS: RECURRENT MIXED TUMOR. The characteristic multinodular growth of recurrent mixed tumor is obvious inthis parotid mass. (Courtesy of Dr. Lewis R. Eversole, Los Angeles, CA.)
</gallery>
</div>
<div align="left">
<gallery heights="175" widths="175">
Image:Salivary gland enlargement 3.jpg|SALIVARY GLANDS: MIXED TUMOR OF PALATE. Most mixed tumors involve only one side of the palate because there are few minor glands in the midline. In this case the tumor appears symmetrical on either side of the midline. Large intraoral tumors are susceptible to trauma-related ulceration, as illustrated here. (Courtesy of F. J.Kratochvil, Bethesda, MD.)
Image:Salivary gland enlargement 4.jpg|SALIVARY GLANDS: CANALICULAR ADENOMA. The upper lip is the site for over 70% of canalicular adenomas.
</gallery>
</div>
<div align="left">
<gallery heights="175" widths="175">
Image:Salivary gland enlargement 5.jpg|SALIVARY GLANDS: MUCOEPIDERMOID CARCINOMA OF PALATE. These tumors frequently are slightly raised, fluctuant, bluish discolorations of the palatal mucosa that are clinically thought to represent mucous escapereactions.
Image:Salivary gland enlargement 6.jpg|SALIVARY GLANDS: ACINIC CELL ADENOCARCINOMA: CLINICAL PRESENTATION: A 2.0-cm raised subcutaneous nodule just anterior to the lower portion of the ear is a common clinical presentation for acinic cell adenocarcinoma. The tumor is in the superficial lobe of the left parotid gland of this 24-year-old man.
</gallery>
</div>
<div align="left">
<gallery heights="175" widths="175">
Image:Salivary gland enlargement 7.jpg|SALIVARY GLANDS: ACINIC CELL ADENOCARCINOMA: CLINICAL PRESENTATION. The upper lip, or any other intra oral site, is an uncommon location for acinic cell adenocarcinoma.
Image:Salivary gland enlargement 8.jpg|SALIVARY GLANDS: ADENOID CYSTIC CARCINOMA. This sublingual gland tumor slowly enlarged to produce a large, lobulated mass in the anterior floor of the mouth. The oral mucosa is intact.
</gallery>
</div>
<div align="left">
<gallery heights="175" widths="175">
Image:Salivary gland enlargement 9.jpg|SALIVARY GLANDS: POLYMORPHOUS LOW-GRADE ADENOCARCINOMA. This tumor presented as a well-circumscribed, slow growing mass at the junction of the hard and soft palates. Pronounced telangiectasia of the overlying mucosa is evident. (Courtesy of Dr. Richard Canaan, Ocean Springs,MS.)
Image:Salivary gland enlargement 12.jpg|SALIVARY GLANDS: NECROTIZING SIALOMETAPLASIA. Swelling, as shown in this photograph of a palatal lesion, is a frequent initial clinical presentation. Many of the swellings subsequently ulcerate. (Courtesy of Dr. Ralph Correll, LosAngeles, CA.)
</gallery>
</div>
=====Parotid carcinoma=====
<gallery>
Image:Parotid carcinoma01.jpg|Parotid carcinoma. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Parotid carcinoma02.jpg|Parotid carcinoma. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Parotid carcinoma03.jpg|Parotid carcinoma. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Parotid carcinoma04.jpg|Parotid carcinoma. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
</gallery>
==References==
==References==
{{reflist|2}}
{{reflist|2}}
{{WH}}
{{WikiDoc Help Menu}}
{{WS}}
{{WikiDoc Sources}}
[[Category:Types of cancer]]
[[Category:Disease]]
[[Category:Disease]]
[[Category:Rare cancers]]
[[Category:Up-To-Date]]
[[Category:Oncology]]
[[Category:Oncology]]
[[Category:Medicine]]
[[Category:Gastroenterology]]
[[Category:Surgery]]
[[Category:Otolaryngology]]

Latest revision as of 15:28, 27 November 2017

Salivary gland tumor Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Salivary gland tumor from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Staging

History and Symptoms

Physical Examination

Laboratory Findings

Fine-needle Aspiration Biopsy (FNAB)

Head X Ray

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Salivary gland tumor physical examination On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Salivary gland tumor physical examination

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Salivary gland tumor physical examination

CDC on Salivary gland tumor physical examination

Salivary gland tumor physical examination in the news

Blogs on Salivary gland tumor physical examination

Directions to Hospitals Treating Salivary gland tumor

Risk calculators and risk factors for Salivary gland tumor physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]Simrat Sarai, M.D. [3]

Overview

Common physical examination findings of salivary gland cancer include painless, firm swelling in one of the salivary gland, cervical lymphadenopathy, difficulty swallowing, trouble opening the mouth widely, difficulty moving one side of the face and muscle weakness on one side of the face suggestive of cranial nerve VII deficit, loss of corneal reflex, localized or regional pain, numbness, paresthesia, causalgia, or a loss of motor function suggestive of cranial nerve V deficit.[1]

Physical Examination

Physical examination should document size of the mass, mobility of the mass, fixation of the mass to the overlying skin or to the deep structures, pain with palpation, any limitation in jaw opening, buccal involvement or pharyngeal asymmetry, skin or scalp lesions indicative of primary malignancy.

HEENT

Fluid draining from the ear

Neck

Neuromuscular

Images courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology

Neck

  • SALIVARY GLANDS: MIXED TUMOR OF PAROTID. The pre-auricular mass had enlarged to this size over a period of 5 years.(Courtesy of Dr. Charles E. Tomich, Indianapolis, IN.)

    SALIVARY GLANDS: MIXED TUMOR OF PAROTID. The pre-auricular mass had enlarged to this size over a period of 5 years.(Courtesy of Dr. Charles E. Tomich, Indianapolis, IN.)

  • SALIVARY GLANDS: RECURRENT MIXED TUMOR. The characteristic multinodular growth of recurrent mixed tumor is obvious inthis parotid mass. (Courtesy of Dr. Lewis R. Eversole, Los Angeles, CA.)

    SALIVARY GLANDS: RECURRENT MIXED TUMOR. The characteristic multinodular growth of recurrent mixed tumor is obvious inthis parotid mass. (Courtesy of Dr. Lewis R. Eversole, Los Angeles, CA.)


  • SALIVARY GLANDS: MIXED TUMOR OF PALATE. Most mixed tumors involve only one side of the palate because there are few minor glands in the midline. In this case the tumor appears symmetrical on either side of the midline. Large intraoral tumors are susceptible to trauma-related ulceration, as illustrated here. (Courtesy of F. J.Kratochvil, Bethesda, MD.)

    SALIVARY GLANDS: MIXED TUMOR OF PALATE. Most mixed tumors involve only one side of the palate because there are few minor glands in the midline. In this case the tumor appears symmetrical on either side of the midline. Large intraoral tumors are susceptible to trauma-related ulceration, as illustrated here. (Courtesy of F. J.Kratochvil, Bethesda, MD.)

  • SALIVARY GLANDS: CANALICULAR ADENOMA. The upper lip is the site for over 70% of canalicular adenomas.

    SALIVARY GLANDS: CANALICULAR ADENOMA. The upper lip is the site for over 70% of canalicular adenomas.


  • SALIVARY GLANDS: MUCOEPIDERMOID CARCINOMA OF PALATE. These tumors frequently are slightly raised, fluctuant, bluish discolorations of the palatal mucosa that are clinically thought to represent mucous escapereactions.

    SALIVARY GLANDS: MUCOEPIDERMOID CARCINOMA OF PALATE. These tumors frequently are slightly raised, fluctuant, bluish discolorations of the palatal mucosa that are clinically thought to represent mucous escapereactions.

  • SALIVARY GLANDS: ACINIC CELL ADENOCARCINOMA: CLINICAL PRESENTATION: A 2.0-cm raised subcutaneous nodule just anterior to the lower portion of the ear is a common clinical presentation for acinic cell adenocarcinoma. The tumor is in the superficial lobe of the left parotid gland of this 24-year-old man.

    SALIVARY GLANDS: ACINIC CELL ADENOCARCINOMA: CLINICAL PRESENTATION: A 2.0-cm raised subcutaneous nodule just anterior to the lower portion of the ear is a common clinical presentation for acinic cell adenocarcinoma. The tumor is in the superficial lobe of the left parotid gland of this 24-year-old man.


  • SALIVARY GLANDS: ACINIC CELL ADENOCARCINOMA: CLINICAL PRESENTATION. The upper lip, or any other intra oral site, is an uncommon location for acinic cell adenocarcinoma.

    SALIVARY GLANDS: ACINIC CELL ADENOCARCINOMA: CLINICAL PRESENTATION. The upper lip, or any other intra oral site, is an uncommon location for acinic cell adenocarcinoma.

  • SALIVARY GLANDS: ADENOID CYSTIC CARCINOMA. This sublingual gland tumor slowly enlarged to produce a large, lobulated mass in the anterior floor of the mouth. The oral mucosa is intact.

    SALIVARY GLANDS: ADENOID CYSTIC CARCINOMA. This sublingual gland tumor slowly enlarged to produce a large, lobulated mass in the anterior floor of the mouth. The oral mucosa is intact.


  • SALIVARY GLANDS: POLYMORPHOUS LOW-GRADE ADENOCARCINOMA. This tumor presented as a well-circumscribed, slow growing mass at the junction of the hard and soft palates. Pronounced telangiectasia of the overlying mucosa is evident. (Courtesy of Dr. Richard Canaan, Ocean Springs,MS.)

    SALIVARY GLANDS: POLYMORPHOUS LOW-GRADE ADENOCARCINOMA. This tumor presented as a well-circumscribed, slow growing mass at the junction of the hard and soft palates. Pronounced telangiectasia of the overlying mucosa is evident. (Courtesy of Dr. Richard Canaan, Ocean Springs,MS.)

  • SALIVARY GLANDS: NECROTIZING SIALOMETAPLASIA. Swelling, as shown in this photograph of a palatal lesion, is a frequent initial clinical presentation. Many of the swellings subsequently ulcerate. (Courtesy of Dr. Ralph Correll, LosAngeles, CA.)

    SALIVARY GLANDS: NECROTIZING SIALOMETAPLASIA. Swelling, as shown in this photograph of a palatal lesion, is a frequent initial clinical presentation. Many of the swellings subsequently ulcerate. (Courtesy of Dr. Ralph Correll, LosAngeles, CA.)

Parotid carcinoma

References

  1. ↑ 1.0 1.1 Salivary gland cancer. Canadian cancer society(2015)http://www.cancer.ca/en/cancer-information/cancer-type/salivary-gland/signs-and-symptoms/?region=sk Accessed on November 8, 2015
  2. ↑ 2.0 2.1 2.2 2.3 "Dermatology Atlas".

Template:WikiDoc Sources

Retrieved from "https://www.wikidoc.org/index.php?title=Salivary_gland_tumor_physical_examination&oldid=1396758"