両側顎下腺腫脹をきたす疾患の病態  [in Japanese] Bilateral Enlargement of the Submandibular Glands : Clinical and Pathological Appearance  [in Japanese]

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Author(s)

Abstract

Diseases showing bilateral enlargement of the Submandibular glands were evaluated with respect to their clinical and histological features. It is well known that sialolithiasis is one of the most common diseases causing submandibular gland enlargement. Pleomorphic adenoma is also a common tumor of submandibular gland origin. These diseases usually cause unilateral swelling of the gland. This report describes several diseases affecting both glands, as follows: mumps, sialodochitis fibrinosa, Küttner's tumor, Mikulicz syndrome, sialadenosis, sialolithiasis, malignant lymphoma and amyloidosis. Sialodochitis fibrinosa is charaterized by white jelly-like material obtained from Wharton's duct containing numerous eosinophils. Most cases of sialadenosis show parotid gland swellings, however, those associated with anorexia nervosa cause swellings predominantly in the submandibular gland. Malignant lymphoma is a rare tumor arising in the parotid and/or submandibular glands. Our cases resembled Küttner's tumor or sialadenosis on palpation of the glands. Patients with amyloidosis were initially suspected of having Küttner's tumor because very few patients visiting ENT clinics have bilateral gland swelllings caused by amyloidosis. Therefore, the differential diagnosis of bilateral submandibular enlargement is often difficult. In accordance with each case, careful examinations are needed using ultrasonograms, sialograms, RI scintigrams, CT scans, MRI and blood tests. When necessary, we add FNA or open biopsy.

Journal

  • Practica Oto-Rhino-Laryngologica

    Practica Oto-Rhino-Laryngologica 95(6), 555-561, 2002-06-01

    The Society of Practical Otolaryngology

References:  9

Cited by:  1

  • Two Cases of Mikulicz's Disease  [in Japanese]

    ITO Shin , MATSUMOTO Fumihiko , OBA Shinichi , FUJIMAKI Mitsuhisa , YOKOYAMA Junkichi , IKEDA Katsuhisa

    Practica oto-rhino-laryngologica. Suppl. (126), 68-72, 2010-04-01

    J-STAGE  Ichushi Web  References (11)

Codes

  • NII Article ID (NAID)
    10008574925
  • NII NACSIS-CAT ID (NCID)
    AN00107089
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    00326313
  • NDL Article ID
    6177178
  • NDL Source Classification
    ZS43(科学技術--医学--耳鼻咽喉科学)
  • NDL Call No.
    Z19-421
  • Data Source
    CJP  CJPref  NDL  J-STAGE 
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