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Abstract
- 1.1. The literature on tuberculosis of salivary glands has been reviewed and five new cases have been reported.
- 2.2. The major salivary glands may be the site of primary and/or secondary tubercular involvement. The sublingual gland is rarely involved; the parotid gland is the most frequent site.
- 3.3. Tuberculosis of the salivary glands presents a considerable problem in diagnosis. A correct preoperative diagnosis of salivary tuberculosis was not made in the majority of the cases presented, even in the presence of a history of pulmonary tuberculosis. Since this is an uncommon disease, it is probable that surgical exploration and the partial or total removal of the affected gland will remain in use until a more conservative diagnostic procedure can be established.
- 4.4. The clinical course of the disease in the salivary glands, whether primary or secondary, is unspectacular. In most instances there is no purulent exudate, either from the gland or from the duct of the involved gland. It is suggested that aspiration of the gland and guinea pig inoculations, along with chest x-rays, sputum analysis, and blood studies, may prove of value in establishing an early diagnosis of tuberculosis of the salivary glands.
- 5.5. It is quite possible that the incidence of tubercular involvement of the salivary glands is higher than is indicated by the few cases recorded in the literature. Many secondary tubercular salivary gland swellings may have been resolved with definitive therapy for and regression of the primary systemic lesion. It would be interesting to know the incidence of salivary gland swellings in patients with known systemic or pulmonary tuberculosis.
- 6.6. Tubercular involvement of the salivary glands in Mikulicz's disease, Mikulicz's syndrome, and uveoparotid fever would appear to be authentic.
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Footnotes
☆This investigation was supported in part by a research grant, B-1722, from the Department of Health, Education, and Welfare, United States Public Health Service, Council on Neurological Disease and Blindness.
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© 1961 Published by Elsevier Inc.