Doctor insights on:
Ultrasound Guided Biopsy Of The Parotid Or Salivary Gland
I have multiple lesions dealin with my salivary gland which is the parotid glands n enlarge thyroid n nodule can those lesion be benign or malignant?
Yes: Your lesions can be either benign or malignant and it can be a difficult diagnosis even after removal. But some experts advise removal in either case since even benign growth can make surgery more risky later. The nerves in the area are important for eating, talking and - of course - your facial expressions and attractiveness. Find an ENT you trust to get this under control. Good luck. ...Read more
An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more
What are statistics of malignant salivary gland tumors of the parotid gland? Not tumors in general. Cancerous ones. How many people per so many? How rare?
Are salivary gland blockages of the parotid gland painful? Because I have a lump that's not painful in my cheek near my upper molars
Typically, yes!: What you are describing merits a visit to your dentist and/or physician. Lumps and bumps are not normal! When there is a problem with the salivary glands or ducts, symptoms can include salivary gland swelling, dry mouth, pain, fever, and foul-tasting drainage into the mouth. An evaluation by a medical professional will help determine what your lump is and the best course of treatment. ...Read more
I have excrutiating pain in my jaw in front of my ear and have swollen glands behind my ear and neck. The pain seems worse after eating. Could this be a parotid salivary gland blockage or cyst? I don't have a fever or any other symptoms and haven't had a
Sialadenitis: The history is indeed suspicious for parotid infection (parotitis) and/or stone in the parotid duct, but it is not clear exactly what is going on. Other possibilities include neck abscess or lymphadenitis. All of these are pretty high acuity problems that warrant prescription medication treatment. I would consider ENT evaluation, or see your primary. If it's bad, er evaluation is appropriate. ...Read more
Salivary flow scan suggests moderate left&right parotid glands, moderate right submandibular&severe left submandibular. Is it concerning in sjogren's?
Sjögren's syndrome: Sjögren's syndrome is an autoimmune disease most common to diagnose among females over 40's but can affects others as well. Was your biopsy taken from lip as a part of sjögren's diagnosis? It seems that you had related tests already run, so interpretation of the gathered data of exams will be presented to you. It is best to discuss this with your own doctor rather than generic online advice. ...Read more
How can you tell the difference between facial swelling caused by TMJ and swelling caused by problems with salivary (parotid) glands?
Facial swelling: Tmj facial swelling is quite rare even with advanced TMJ disease. The joint is deep and beneath the skull base encased in a very dense capsule making expansion onto the face unlikely. The glands and parotid in particular are quite a bit less "encased" and any inflammatory or other cause of swelling is usually more visible. Often overlooked other causes (ie wisdom teeh) require an exam. ...Read more
Salivary gland biopsy. Dr. Made an incision no salivary glands. Dr said may have atrophied did 2nd incision & found glands. Is it consistnt sjogrens?
A normal occurrence: I assume it was a lip biopsy. The initial biopsy just had no glands in it. Glands are scattered in the lip and it is not unusual for a biopsy to not contain any glands. They did not atrophy. That is nonsense. ...Read more
Saliva gland sample: Often done as a needle biopsy, if taken from a salivary gland can be useful with other diagnostic data to diagnose or rule out glandular cancer or other glandular disorders, especially in the aid of diagnosing sjogren's syndrome. I believe an ENT doctor to be the correct specialist to consult with. ...Read more
Yes: Sometimes the cause of the blockage may not show up on the ultrasound. ...Read more
One piece of info: My experience with lip biopsies is that it often confuse situations. A negative lip biopsy is good. The other question is do you have antibodies for sjogren's with this ssa or ssb. The main thing in treating sjogren's or lupus is assessing for any other organ involvement and treating symptoms appropriately. ...Read more
Would an internist who has an office ultrasound machine be knowing enough to easily identify a salivary gland stone?
Salivary stone: See an oral surgeon...A head and neck expert. ...Read more
ENT says salivary lip biopsy only 40% accurate to Dx Sjogrens, and suggests parotid gland biopsy, saying 80 accurate%. Is this correct?
Sjogren's: I've not seen those exact percentages noted in the medical literature, but they may certainly be reasonable. The key to diagnosis of this disorder is the salivary gland cells. The best place to perform biopsies to get salivary cells are in the lower lip and the tail of parotid. A lip biopsy can be done without a visible scar. A tail of parotid biopsy will scar, but you can usually hide it well ...Read more
Swollen lymph node under tongue along floor of mouth for over two years. Dentist said not a salivary gland and to get biopsy. Should I be concerned?
I have a small tumor behind ear. Biopsy result came as benign salivary gland tumor, basal cell adenoma. Surgery needed? Is it urgent? Can bcme cancerous?
See ENT: See the head and neck specialist - ENT surgeon, SOON, for specific advice about this tumor. ...Read more
I just had a large polyp removed, sent for biopsy. Oral surgeon is sending me for a CT due to radiopaque lesions in parotid glands. Are they related?
More info needed: Where was the polyp removed from? It it was removed in close proximity on the same side of the parotid gland then maybe. The polyp may be unrelated to the parotid finding which may be a salivary stone that is easily treatable. However more information is needed. Thank you. ...Read more
Salivary glands swollen for 2 years now. Ct done only shows that they are enlarged biopsy done on gland lip only shows inflamed gland dye test done?
Lots of things: Unfortunately, your description is not detailed enough to be of true help to you, but there are a wide range of diseases that can appear in the salivary glands. These range from reactive (stones), inflammatory/immune (sjogren's/igg4 disease), to neoplastic (tumor). A thorough discussion with the doctor who ordered the biopsy should be quite useful. ...Read more
Positive ANA tests for 10+yrs, no sicca probs. Have sensory numbness in feet per emg. Biopsy salivary glands 1/3 show inflammation. What tests next?
Consultation!: The best 'test' is a consultation with a neurologist specializing in, or experienced with autoimmune neuropathies. A spine MRI with gadolinium contrast sometimes can show changes in the nerve roots if that is the problem. Even if that is negative, the type of problems seen on the EMG may be revealing. A spinal tap with analysis of the spinal fluid is occasionally useful. Possibly other blood tests. ...Read more
What does multiple infiltratine non-enhancing lesions of both parotid glands nd floor of mouth means?
See your doc soon:
Did you have a ct scan or sialogram x-ray of face/neck area? Non-enhancing generally means the contrast dye or some metabolically active substance injected at time of test did not enter the involved area. Infiltrate usually refers to abnormal soft tissue inside an organ or gland. Below is a very good site below for parotid disease and issues
http://www. Parotidmd. Com. ...Read more
I have lesion on both of my parotid glands and on the floor of my mouth nd a enlarge thyroid what does this means?
See ENT: Bilateral parotid enlargement could be from diabetes, liver disease, cirrhosis, hiv, anorexia, bulimia, protein calorie malnutrition, fatty infiltration, or autoimmune disease. An enlarged thyroid could be from autoimmune thyroid inflammation. Warthins tumors can be bilateral. Need to have this evaluated. ...Read more
Father has MS biopsy of calcification in small salivary gland came back atypical can't rule out neoplasm needs surgery general anesthesia with MS ok?
No problem: Do not see any medication that he is taking for multiple sclerosis. Is the disease "burned out" or secondary progressive without relapses? Assuming that he does not have cardiac or pulmonary issues, and merely has history of ms, cannot see any reason to Prohibit general anesthesia. Should not affect the ms even if the disease were active relapsing-remitting. ...Read more
Stone or infection: You could have a salivary stone or you might have an infection. Please see a dentist or doctor to determine the cause and to see if you need antibiotics. ...Read more
Seek an eval: Swollen salivary glands can be on the floor of the mouth, cheeks or palate. This can be indicative of an infection, blockage or a dysplasia of some degree. It is necessary to seek a dental eval asap. If it is an infection borne issue, you may note a fever, swollen glands and a possible increase or decrease in saliva. Most likely a benign treatable issue. Please seek care immediately. ...Read more
Depends: It is not normal to have swollen salivary glands. Some could be serious, so it is best to find out why you are having this issue before how to deal with it. Remember, diagnosis first before you find the right treatment. Even with a benign salivary stone, the gland can get infected secondarily. So visit a dentist and find the cause first. ...Read more
I think I have a swollen salivary gland that is recurring periodically over many years. What to do?
Many years problem: You must see a dentist, oral surgeon or otolaryngologist (ear, nose, throat doctor) who will see what your problem exactly is and then determine the appropriate course of treatment. ...Read more
Yes: Sour foods help saliva production. The hope is that, with the extra saliva production, your gland will expel the stone. ...Read more
Mouth (mouth) " n. Pl. Mouths 1. A. The body opening through which an animal takes in food. B. The cavity lying at the upper end of the alimentary canal, bounded on the outside by the lips and inside by the oropharynx and containing in higher vertebrates the tongue, gums, and teeth. C. This cavity regarded as the source of sounds and speech. D. The opening to any cavity or canal ...Read more
Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more