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Oral Pathology Short Case 5 - 15-year old Female - Lesion present in anterior maxilla. A mixed radiodense lesion
Oral Pathology Short Case 5 - 15-year old Female - Lesion present in anterior maxilla. A mixed radiodense lesion
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Oral Pathology Short Case 6 - 60 Years old Male - Lump in the parotid
Answer : Warthin tumour Second most common tumour of salivary gland 5-15% of all cases 6 th and 7 th decades Male > Female Linked to cigarette smoking Table 6 Histopathology Papillary projections lined by epithelium Lymphoid stroma Papillary cystic structures lined by epithelium Epithelium Inner – Columnar Outher - Cuboidal With germinal centers After FNAC – necrosis confused with malignancy Granulomatous reaction with langerhan type giant cells may seen Oncocytes – epithelial cells characterized by excessive number of mitochondria When present in a lower pole metastatic node is a suspicion May associate with HIV (P 27 positivity in HIV) Technetium 99 may appear as hot lesion Complete surgical excision with adequate margin Parotid resection nomenclature Anatomical Functional Extracapsular dissection Partical parotidectomy Superficial parotidectomy Deep parotidectomy Conservative Semi conservative Radical Eg : Conservative superficial parotidectomy D...