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Doctor insights on: Ultrasound Guided Biopsy Of The Parotid Or Salivary Gland

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Dr. Lynne Weixel Dr. Weixel
Clinical Psychology
32 years in practice
University of Connecticut School of Medicine
1

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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?

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.

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Dr. Michael Gabor
2,263 Doctors shared insights

Sonogram (Definition)

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


Dr. Ronald Ward Dr. Ward
ENT - Head & Neck Surgery
years in practice
Keck School of Medicine of University of Southern California
2
Dr. Arnold Malerman Dr. Malerman
Dentistry - Orthodontics
49 years in practice
Maurice H. Kornberg School of Dentistry (Temple University)
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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

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

Sounds like: Sounds like a blocked parotid gland. This is not necessarily a painful problem. Any "lump" should be investigated. Could be one of many problems. Please call your dentist for an appointment for evaluation and rx.

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Dr. John Chastain Dr. Chastain
ENT - Head & Neck Surgery
15 years in practice
Medical College of Georgia School of Medicine
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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

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.

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Dr. Manami Yamaguchi Dr. Yamaguchi
Dentistry
21 years in practice
Oregon Health & Science University School of Dentistry
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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.

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Dr. John Scuba Dr. Scuba
Surgery - Oral & Maxillofacial
21 years in practice
University of Texas Medical School at San Antonio
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How can you tell the difference between facial swelling caused by TMJ and swelling caused by problems with salivary (parotid) glands?

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.

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Dr. Ronald Krauser Dr. Krauser
Internal Medicine - Rheumatology
48 years in practice
Wake Forest University School of Medicine
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Salivary gland biopsy. Dr. Made an incision no salivary glands. Dr said may have atrophied did 2nd incision & found glands. Is it consistnt sjogrens?

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.

Dr. David Schleimer Dr. Schleimer
Dentistry - Orthodontics
34 years in practice
University of Pennsylvania School of Medicine
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What is the definition or description of: salivary gland biopsy?

What is the definition or description of: salivary gland biopsy?

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.

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Dr. Lonnie Smith Dr. Smith
ENT - Head & Neck Surgery
35 years in practice
UCLA School of Medicine
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If it didn't show up on an ultrasound, can a salivary gland still be blocked?

If it didn't show up on an ultrasound, can a salivary gland still be blocked?

Yes: Sometimes the cause of the blockage may not show up on the ultrasound.

Dr. Sandra Eleczko Dr. Eleczko
Dentistry
32 years in practice
University at Buffalo, The State University of New York School of Medicine & Biomedical Sciences
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What kind of doctor does a biopsy of the salivary gland to diagnose sjogrens?

What kind of doctor does a biopsy of the salivary gland to diagnose sjogrens?

Oral surgeon: An oral surgeon can biopsy your salivary gland. Other doctors that can help you would be an oral medicine specialist or ent.

Dr. David Snow Dr. Snow
Internal Medicine - Rheumatology
27 years in practice
University of Toledo College of Medicine
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What is the false negative result percentage for a minor salivary gland biopsy for sjogrens?

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.

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Dr. Daniel Rubenstein Dr. Rubenstein
Dentistry
47 years in practice
University of Pittsburgh School of Dental Medicine
12
Dr. Brian Affleck Dr. Affleck
ENT - Head & Neck Surgery
26 years in practice
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
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ENT says salivary lip biopsy only 40% accurate to Dx Sjogrens, and suggests parotid gland biopsy, saying 80 accurate%. Is this correct?

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

Dr. Cesar Sturla Dr. Sturla
Internal Medicine
31 years in practice
National University of Pedro Henriquez Urena
15
Dr. Louis Gallia Dr. Gallia
Surgery - Oral & Maxillofacial
41 years in practice
University of Washington School of Medicine
16
Dr. Michael Gabor Dr. Gabor
Diagnostic Radiology
29 years in practice
University of Connecticut School of Medicine
17

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What to do if I had a mammo ultrasound fine needle aperation now they want me to have a ultrasound guided biopsy I'm scre?

Biopsy: The fine needle aspiration may have been indeterminate. The core biopsy will provide a better specimen for the pathologist to examine. If the fine needle showed a cancer, you would be going for surgical excision.

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Dr. Ronald Achong Dr. Achong
Surgery - Oral & Maxillofacial
14 years in practice
Louisiana State University School of Medicine in New Orleans
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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.

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Dr. Peter Sadow Dr. Sadow
Pathology
13 years in practice
University of Chicago Pritzker School of Medicine
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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?

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.

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Dr. Matthew Gold Dr. Gold
Neurology
42 years in practice
Weill Cornell Medical College of Cornell University
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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?

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.

Mouth (Definition)

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


Dr. Linda Callaghan
2 Doctors shared insights

Biopsy (Definition)

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