0:01

Here we have a patient with Sjögren's disease

0:03

who is being evaluated for a possible mass.

0:08

As we scroll downward, we look at the lacrimal glands.

0:12

We note that they are relatively small in size,

0:15

that might be an indication of Sicca syndrome.

0:19

And as we continue downward,

0:24

we come to the parotid gland.

0:27

It's a little bit off-centered on the right side,

0:30

and we notice all these tiny little calcifications

0:33

that are seen within the gland.

0:35

We see cystic areas as well as solid nodular areas.

0:39

These would be our benign lymphoepithelial lesions

0:42

that can occur in Sjögren's syndrome.

0:45

And you see that the gland has calcifications throughout it,

0:49

often all the way out to the periphery,

0:51

which would be unusual for it to be within the ductal system.

0:54

Right? The duct itself is not dilated,

0:57

it inserts appropriately.

1:00

On the contralateral side, the duct looks good,

1:03

and on the left side, we have a cyst here

1:11

as well as the calcifications,

1:13

as well as some nodularity,

1:15

benign lymphoepithelial lesions of Sjögren's syndrome.

1:20

These can also be seen in patients who are HIV positive,

1:25

and they too have a higher risk of

1:27

lymphoma in their head and neck.

Sjögren’s Syndrome

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