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− | *Bilateral, uniform, painless, non-inflammatory enlargement of the [[Salivary Glands - Anatomy & Physiology|salivary glands]]
| + | == Description == |
− | *C/s of retching/gulping
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− | *No significant histological abnormalities in the [[Salivary Glands - Anatomy & Physiology|salivary gland]] biopsies.<br>
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− | [[Category:To_Do_-_Kate]]
| + | Sialadenosis: 'non-inflammatory swelling of the salivary glands' |
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− | [[Category:Salivary_Glands_-_Pathology]] | + | Usually the masses are bilateral, uniform, fluctuant and painless, unless the cause of the swelling is neoplastic. |
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| + | A salivary mucocele (accumulation of saliva in sub-cutaneous tissue) or a sialolith (a stone in the salivary duct) is the usual cause of swelling. |
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| + | It is most common in dogs |
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| + | == Clinical Signs == |
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| + | *Often non |
| + | *Retching/gulping sometimes seen |
| + | *Fever and pain seen if infected |
| + | *Occasionally dyspnea if obstructing the airway |
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| + | == Diagnosis == |
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| + | *Palpation |
| + | *Aspiration<br>- viscous fluid (saliva) <br>- often serosangiunous or golden<br>- cytologically indifferent from saliva<br>- stain for mucus with periodic acid-schiff |
| + | *Sialography (rarely performed)- used to detect side of origin if difficult to palpate |
| + | *Biopsy (rarely performed unless neoplasia suspected) -no significant histological abnormalities in the [[Salivary Glands - Anatomy & Physiology|salivary gland]] biopsies.<br> |
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| + | == Treatment == |
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| + | *Aspiration to temporarily relieve pressure and reduce size of mass |
| + | *Surgery for mucocele<br>- remove salivary gland and duct<br>- remove both sides if origin cannot be determined<br>- marsupialisation of ranula (if one is present)<br>- cervical drainage if removal is not anatomically possible |
| + | *Surgery for Sialolith<br>- incise over duct and allow to heal by secondary intention |
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| + | == Prognosis == |
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| + | Very good if removal is complete |
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| + | == References == |
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| + | Blood, D.C. and Studdert, V. P. (1999) Saunders Comprehensive Veterinary Dictionary (2nd Edition) Elsevier Science <br>Fossum, T. W. et. al. (2007) Small Animal Surgery (Third Edition) Mosby Elsevier <br>Merck & Co (2008) The Merck Veterinary Manual (Eighth Edition) Merial <br>Slatter, D.S. (2003) Textbook of Small Animal Surgery 3rd Ed |
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| + | [[Category:To_Do_-_Review]] [[Category:Salivary_Glands_-_Pathology]] |