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Sialolithiasis of minor salivary gland: a challenging diagnostic dilemma
Minor salivary gland sialolithiasis (MSGS) is a not uncommon oral mucosal disease. Its clinical appearance may mimic a mucocyst or other benign submucosal overgrowth. Stasis of saliva, which accompanies MSGS, usually results in minor salivary gland inflammation, with a chronic sialadenitis appearanc...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Association of Oral and Maxillofacial Surgeons
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8084744/ https://www.ncbi.nlm.nih.gov/pubmed/33911048 http://dx.doi.org/10.5125/jkaoms.2021.47.2.145 |
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author | Matiakis, Apostolos Tzermpos, Fotios |
author_facet | Matiakis, Apostolos Tzermpos, Fotios |
author_sort | Matiakis, Apostolos |
collection | PubMed |
description | Minor salivary gland sialolithiasis (MSGS) is a not uncommon oral mucosal disease. Its clinical appearance may mimic a mucocyst or other benign submucosal overgrowth. Stasis of saliva, which accompanies MSGS, usually results in minor salivary gland inflammation, with a chronic sialadenitis appearance. MSGS typically is a painless lesion but can become painful when the salivary gland parenchyma or excretory duct becomes infected, with or without pus. However, misdiagnosis of this condition is rather common, as the clinical appearance is asymptomatic. The most common location is the upper lip, and MSGS affects males and females, with a slight predilection for males. The sialolith causing MSGS may be obvious during surgical excision, as in the case reported. In other cases, sialolith may be absent or fragmented. Differential diagnosis includes mucocele, swelling due to local irritation like fibroma and diapneusia, chronic abscess of the oral mucosa, and neoplasms either benign (lymphangioma, pleiomorphic adenoma) or malignant. Histopathological examination is needed to establish clinical diagnosis. |
format | Online Article Text |
id | pubmed-8084744 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | The Korean Association of Oral and Maxillofacial Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-80847442021-05-06 Sialolithiasis of minor salivary gland: a challenging diagnostic dilemma Matiakis, Apostolos Tzermpos, Fotios J Korean Assoc Oral Maxillofac Surg Case Report Minor salivary gland sialolithiasis (MSGS) is a not uncommon oral mucosal disease. Its clinical appearance may mimic a mucocyst or other benign submucosal overgrowth. Stasis of saliva, which accompanies MSGS, usually results in minor salivary gland inflammation, with a chronic sialadenitis appearance. MSGS typically is a painless lesion but can become painful when the salivary gland parenchyma or excretory duct becomes infected, with or without pus. However, misdiagnosis of this condition is rather common, as the clinical appearance is asymptomatic. The most common location is the upper lip, and MSGS affects males and females, with a slight predilection for males. The sialolith causing MSGS may be obvious during surgical excision, as in the case reported. In other cases, sialolith may be absent or fragmented. Differential diagnosis includes mucocele, swelling due to local irritation like fibroma and diapneusia, chronic abscess of the oral mucosa, and neoplasms either benign (lymphangioma, pleiomorphic adenoma) or malignant. Histopathological examination is needed to establish clinical diagnosis. The Korean Association of Oral and Maxillofacial Surgeons 2021-04-30 2021-04-30 /pmc/articles/PMC8084744/ /pubmed/33911048 http://dx.doi.org/10.5125/jkaoms.2021.47.2.145 Text en Copyright © 2021 The Korean Association of Oral and Maxillofacial Surgeons. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Matiakis, Apostolos Tzermpos, Fotios Sialolithiasis of minor salivary gland: a challenging diagnostic dilemma |
title | Sialolithiasis of minor salivary gland: a challenging diagnostic dilemma |
title_full | Sialolithiasis of minor salivary gland: a challenging diagnostic dilemma |
title_fullStr | Sialolithiasis of minor salivary gland: a challenging diagnostic dilemma |
title_full_unstemmed | Sialolithiasis of minor salivary gland: a challenging diagnostic dilemma |
title_short | Sialolithiasis of minor salivary gland: a challenging diagnostic dilemma |
title_sort | sialolithiasis of minor salivary gland: a challenging diagnostic dilemma |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8084744/ https://www.ncbi.nlm.nih.gov/pubmed/33911048 http://dx.doi.org/10.5125/jkaoms.2021.47.2.145 |
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