17th July 2023

Salivary Gland Swelling

MRCP Part 1 - Salivary gland anatomy

Salivary gland anatomy

Image Source: Wikimedia Commons (2022). Blausen 0780 SalivaryGlands, Licensed under a creative commons licence. Available for free at: https://commons.wikimedia.org/wiki/File:Blausen_0780_SalivaryGlands.png (Accessed on: 9 June 2022).

	Acute	Chronic
Unilateral	Bacterial infection (sialadenitis) Obstruction (sialithiasis or stricture) Radiation	Chronic sialadenitis Neoplasm: Benign – pleomorphic adenoma Malignant –mucoepidermoid carcinoma, lymphoma, SCC, melanoma) Metastasis Radiation
Bilateral	Viral infections: Mumps (paramyxovirus) EBV CMV Coxsackie A HIV seroconversion Radio-iodine treatment	Blood-borne viruses (HIV, hepatitis B and C) Sjögren’s (primary and secondary) Endocrine: Diabetes Acromegaly Sarcoidosis: Heerfordt’s syndrome = uveoparotid fever. Triad of fever, uveitis and parotid enlargement Alcohol Tuberculosis Amyloidosis Rheumatological: IgG4-related sialadenitis ANCA-associated vasculitis Anorexia/bulimia

Acute

Chronic

Unilateral

Bacterial infection (sialadenitis)

Obstruction (sialithiasis or stricture)

Radiation

Chronic sialadenitis

Neoplasm: