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April 1941


Arch Otolaryngol. 1941;33(4):675-681. doi:10.1001/archotol.1941.00660030683017

Diagnosis and Diseases of the Salivary Glands.Dr. R. Bruce Malcolm.  Diseases of the salivary glands are unique. This illustrated talk is based on 167 cases encountered during the past seven years, in each of which a surgical operation was done. Each gross specimen was seen and examined histologically. The lesions were grouped as follows: Acute suppurative parotitis, while not common, is extremely painful and the affected glands must be drained. It may be caused by ordinary lithiasis. In 1 case listed, paralysis of the seventh nerve was due to a knife wound; the nerves were sutured with a satisfactory result. Papillary cystadenoma usually occurs as a small tumor, not nodular, of fairly rapid growth, and may undergo malignant change. One lesion diagnosed as such proved to be tuberculosis of the gland, while another was due to Hodgkin's disease.Mixed tumors are among the great bugbears of surgical practice.

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