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submandibular mass; submandibular swelling
Etiology:
- unilateral
- benign neoplasm*
- malignancy*
- salivary stones & salivary duct stenosis (generally painful)
- salivary adenosis secondary to systemic disease* (generally painful)
- Sjogren syndrome
- HIV1 infection
- 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
General
salivary gland disease
mass lesion
References
- NEJM Knowledge+ Gastroenterology
- Mehanna H, McQueen A, Robinson M, Paleri V.
Salivary gland swellings.
BMJ. 2012 Oct 23;345:e6794.
PMID: 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: 30546932 PMCID: PMC6251244 Free PMC article