Suppurative minor salivary gland sialolithiasis
Sialolithiasis is a common nonneoplastic disease of the major salivary glands that often affects the submandibular glands. Minor salivary gland involvement by sialolithiasis is uncommon, with only 273 cases reported. A long clinical history, acute symptoms, and mucopurulent discharge are unusual fe...
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| Format: | Article |
| Language: | English |
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University of São Paulo
2022-09-01
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| Series: | Autopsy and Case Reports |
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| Online Access: | https://www.revistas.usp.br/autopsy/article/view/202111 |
| _version_ | 1798002835214827520 |
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| author | Camila de Oliveira Barbeiro Roberto Henrique Barbeiro Andreia Bufalino Jorge Esquiche León |
| author_facet | Camila de Oliveira Barbeiro Roberto Henrique Barbeiro Andreia Bufalino Jorge Esquiche León |
| author_sort | Camila de Oliveira Barbeiro |
| collection | DOAJ |
| description |
Sialolithiasis is a common nonneoplastic disease of the major salivary glands that often affects the submandibular glands. Minor salivary gland involvement by sialolithiasis is uncommon, with only 273 cases reported. A long clinical history, acute symptoms, and mucopurulent discharge are unusual features of these cases. Herein, we report the case of a 63-year-old woman who complained of symptomatic nodular swelling of the buccal mucosa associated with purulent discharge for several days. The clinical history lasted 15 years, with episodes of asymptomatic non-suppurative swelling in the same area. The patient underwent surgical excision. The microscopic examination revealed chronic nonspecific sialadenitis associated with psammomatous calcifications, confirming minor salivary gland sialolithiasis. After 3 years of follow-up, the patient was free of symptoms. Patients with sialolithiasis are usually asymptomatic; however, swelling, pain, and fistula may be present in rare cases. The presence of purulent exudate should lead to the differential diagnosis of stomatitis glandularis, a rare inflammatory condition affecting the minor salivary glands. Sialolithiasis and stomatitis glandularis should be considered in the clinical differential diagnosis of symptomatic suppurative nodular swelling affecting the oral mucosa, and histopathological analysis is necessary for the diagnosis.
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| first_indexed | 2024-04-11T11:59:43Z |
| format | Article |
| id | doaj.art-767883c947c44139bf823a4ab5fdc670 |
| institution | Directory Open Access Journal |
| issn | 2236-1960 |
| language | English |
| last_indexed | 2024-04-11T11:59:43Z |
| publishDate | 2022-09-01 |
| publisher | University of São Paulo |
| record_format | Article |
| series | Autopsy and Case Reports |
| spelling | doaj.art-767883c947c44139bf823a4ab5fdc6702022-12-22T04:24:57ZengUniversity of São PauloAutopsy and Case Reports2236-19602022-09-0112Suppurative minor salivary gland sialolithiasisCamila de Oliveira Barbeiro0Roberto Henrique Barbeiro1Andreia Bufalino2 Jorge Esquiche León3Universidade Estadual Paulista “Júlio de Mesquita Filho” (Unesp), Faculdade de Odontologia de Araraquara, Departamento de Diagnóstico e Cirurgia, Araraquara, SP, BrasilUniversidade Estadual Paulista “Júlio de Mesquita Filho” (Unesp), Faculdade de Odontologia de Araraquara, Departamento de Diagnóstico e Cirurgia, Araraquara, SP, BrasilUniversidade Estadual Paulista “Júlio de Mesquita Filho” (Unesp), Faculdade de Odontologia de Araraquara, Departamento de Diagnóstico e Cirurgia, Araraquara, SP, BrasilUniversidade de São Paulo (USP), Faculdade de Odontologia de Ribeirão Preto, Departamento de Estomatologia, Saúde Coletiva e Odontologia Legal, Ribeirão Preto, SP, Brasil Sialolithiasis is a common nonneoplastic disease of the major salivary glands that often affects the submandibular glands. Minor salivary gland involvement by sialolithiasis is uncommon, with only 273 cases reported. A long clinical history, acute symptoms, and mucopurulent discharge are unusual features of these cases. Herein, we report the case of a 63-year-old woman who complained of symptomatic nodular swelling of the buccal mucosa associated with purulent discharge for several days. The clinical history lasted 15 years, with episodes of asymptomatic non-suppurative swelling in the same area. The patient underwent surgical excision. The microscopic examination revealed chronic nonspecific sialadenitis associated with psammomatous calcifications, confirming minor salivary gland sialolithiasis. After 3 years of follow-up, the patient was free of symptoms. Patients with sialolithiasis are usually asymptomatic; however, swelling, pain, and fistula may be present in rare cases. The presence of purulent exudate should lead to the differential diagnosis of stomatitis glandularis, a rare inflammatory condition affecting the minor salivary glands. Sialolithiasis and stomatitis glandularis should be considered in the clinical differential diagnosis of symptomatic suppurative nodular swelling affecting the oral mucosa, and histopathological analysis is necessary for the diagnosis. https://www.revistas.usp.br/autopsy/article/view/202111Salivary gland calculiSialadenitisSalivary GlandsMinor |
| spellingShingle | Camila de Oliveira Barbeiro Roberto Henrique Barbeiro Andreia Bufalino Jorge Esquiche León Suppurative minor salivary gland sialolithiasis Autopsy and Case Reports Salivary gland calculi Sialadenitis Salivary Glands Minor |
| title | Suppurative minor salivary gland sialolithiasis |
| title_full | Suppurative minor salivary gland sialolithiasis |
| title_fullStr | Suppurative minor salivary gland sialolithiasis |
| title_full_unstemmed | Suppurative minor salivary gland sialolithiasis |
| title_short | Suppurative minor salivary gland sialolithiasis |
| title_sort | suppurative minor salivary gland sialolithiasis |
| topic | Salivary gland calculi Sialadenitis Salivary Glands Minor |
| url | https://www.revistas.usp.br/autopsy/article/view/202111 |
| work_keys_str_mv | AT camiladeoliveirabarbeiro suppurativeminorsalivaryglandsialolithiasis AT robertohenriquebarbeiro suppurativeminorsalivaryglandsialolithiasis AT andreiabufalino suppurativeminorsalivaryglandsialolithiasis AT jorgeesquicheleon suppurativeminorsalivaryglandsialolithiasis |