submandibular mass; submandibular swelling
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Etiology
- unilateral
- benign neoplasm*
- malignancy*
- salivary stones & salivary duct stenosis (generally painful)
- salivary adenosis secondary to systemic disease* (generally painful)
- bilateral
- viral infections (munps, CMV, EBV)
* in order of frequency; unilateral makes neoplasm/malignancy more likely[1]
Radiology
- CT of head & nead
- MRI is an option
Management
- secretagogues indicated for salivary stones or salivary adenosis
- generally after neoplasm/malignancy has been ruled out with CT
More general terms
References
- ↑ 1.0 1.1 NEJM Knowledge+ Gastroenterology
- ↑ Mehanna H, McQueen A, Robinson M, Paleri V. Salivary gland swellings. BMJ. 2012 Oct 23;345:e6794. PMID: https://www.ncbi.nlm.nih.gov/pubmed/23092898 Review.
- ↑ Kessler AT, Bhatt AA. Review of the Major and Minor Salivary Glands, Part 2: Neoplasms and Tumor-like Lesions. J Clin Imaging Sci. 2018 Nov 15;8:48. PMID: https://www.ncbi.nlm.nih.gov/pubmed/30546932 PMCID: PMC6251244 Free PMC article