Acinic cell carcinoma physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ramyar Ghandriz MD[2]

Overview

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.[1]

Physical Examination

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.

HEENT

Fluid draining from the ear

Neck

Neuromuscular

Images courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology

Neck





Parotid carcinoma

References

  1. 1.0 1.1 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
  2. 2.0 2.1 2.2 2.3 "Dermatology Atlas".

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