Parotid Swellings II Furrat Amen
Neoplasms Epithelial Non epithelial
Epithelial Tumours AAdenomas BMucoepidermoid Tumour CAcinic cell tumour DCarcinoma
BMucoepidermoid tumours Epidermoid cells and mucus secreting cells Slow growing limited local invasion Occ. Lymph node mets (some rapid growth and aggressive) Hard Uncommon VII paralysis
CAcinic cell tumour Cells - like serous acini Women>men Invasive Slow growing soft
DCarcinoma Adenoid cystic carcinoma Adenocarcinoma Epidermoid carcinoma Undifferentiated carcinoma Carcinoma in pleomorphic adenoma
Adenoid cystic carcinoma Myoepithelial cells Duct epithelium cells Slow Pain/anaesthesia/paralysis Poor long term prognosis Perineural invasion Hard and fixed
Other carcinomas Adenocarcinoma Epidermoid carcinoma Undifferentiated carcinoma Signs of malignancy Fixity Pain Bone resorption VII irritability, later Paralysis VII Dec. mandibular movement
Treatment