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Upper GI Pathology (Mouth & Oesophagus) (Oesophagus (Associated w/…
Upper GI Pathology (Mouth & Oesophagus)
Oral Cavity
Apthous Ulcers
Glossitis
Infection
HSV 1 > 2
Candida
Neoplasia
95% SCC
Premalignant Lesions
Leukoplakia
Erythroplakia
Salivary Glands
Xerostomia
Iatrogenic
Sjogren Syndrome
Sialadenitis
Viral --> Mumps (Parotids)
Bacterial --> S. aureus & S. viridans.
Sialolithiasis often precedes infection
Mucocoele/Rupture of Duct
Other --> Trauma, Autoimmune/Sjogren
Neoplasia
Parotid > Submandibular > Sublingual
Multiple types both Benign & Malignant. Most common is Pleomorphic Adenoma. Malignancy more common in smaller salivary glands (Submandibular and Sublingual).
Oesophagus
Congenital
Abscence, Atresia & Fistula
Ectopia
Webs, Rings & Stenosis
Associated w/ Motor Dysfunction
Achalasia
Hiatal Hernia (Sliding > Rolling)
Diverticula (Zenker, Traction & Epiphrenic)
Mallory Weiss Tears
Varices
Oesophagitis
Reflux, Barrett , Infectious & Chemical
Neoplasia
SCC
Usually more proximal, M > F, Black > White.
Adenocarcinoma
Usually more distal, M > F, White > Black