Acinic cell carcinoma physical examination
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Common physical examination findings of salivary gland cancer include painless, firm swelling in one of the salivary gland, cervical lymphadenopathy, difficulty swallowing, trouble opening the mouth widely, difficulty moving one side of the face and muscle weakness on one side of the face suggestive of cranial nerve VII deficit, loss of corneal reflex, localized or regional pain, numbness, paresthesia, causalgia, or a loss of motor function suggestive of cranial nerve V deficit.
Physical examination should document size of the mass, mobility of the mass, fixation of the mass to the overlying skin or to the deep structures, pain with palpation, any limitation in jaw opening, buccal involvement or pharyngeal asymmetry, skin or scalp lesions indicative of primary malignancy.
Fluid draining from the ear
- Painless, firm swelling or a lump in one of the salivary glands
- Cervical lymphadenopathy
- Difficulty swallowing
- Trouble opening the mouth widely
- Difficulty moving one side of the face and muscle weakness on one side of the face suggestive of cranial nerve VII deficit
- Loss of corneal reflex, localized or regional pain, numbness, paresthesia, causalgia, or a loss of motor function suggestive of loss of cranial nerve V deficit
- Facial nerve weakness
SALIVARY GLANDS: MIXED TUMOR OF PALATE. Most mixed tumors involve only one side of the palate because there are few minor glands in the midline. In this case the tumor appears symmetrical on either side of the midline. Large intraoral tumors are susceptible to trauma-related ulceration, as illustrated here. (Courtesy of F. J.Kratochvil, Bethesda, MD.)
SALIVARY GLANDS: ACINIC CELL ADENOCARCINOMA: CLINICAL PRESENTATION: A 2.0-cm raised subcutaneous nodule just anterior to the lower portion of the ear is a common clinical presentation for acinic cell adenocarcinoma. The tumor is in the superficial lobe of the left parotid gland of this 24-year-old man.
- Salivary gland cancer. Canadian cancer society(2015)http://www.cancer.ca/en/cancer-information/cancer-type/salivary-gland/signs-and-symptoms/?region=sk Accessed on November 8, 2015
- "Dermatology Atlas".