Our Site is still under construction...more to come
We welcome all questions relating to Equine dentistry.  Contact Joel at 410-259-1301  he will gladly answer those questions  for you.
Home   chapter home   jobs   conferences   fellowships   books advertisement salivary glands epithelial/myoepithelial tumors acinic cell carcinoma reviewers: fatima aly, m. Does generic viagra pill look like generic viagra same brand name buy viagra online usa generic viagra same brand name D. viagra trials for women viagra gold coast Viagra golden root generic viagra available australia (see reviewers page) revised: 9 october 2011, last major update august 2011 copyright: (c) 2003-2011, pathologyoutlines. buy viagra online canada no prescription viagra generic discount cheapest generic viagra online Com, inc. buy cheap viagra buy generic viagra viagra without a doctor prescription General ========================================================================= ● 1-3% of all salivary gland tumors; 3% of all parotid salivary gland tumors ● #2 childhood salivary gland malignancy after mucoepidermoid carcinoma ● usually parotid and minor salivary glands, also parotid lymph nodes ● 10-15% metastasize (usually to local lymph nodes), 10-30% recur (may be due to inadequate excision) ● 80-90% recur if incompletely excised ● 5 year survival 90%, 20 year survival 60% ● less aggressive in minor salivary glands poor prognostic factors ========================================================================= ● high stage, pain or fixation, gross invasion, desmoplasia, anaplasia or dedifferentiated component, increased mitotic figures, necrosis, neural invasion, incomplete resection, large size, involvement of deep lobe of parotid, multinodularity case reports ========================================================================= ● dedifferentiation with myoepithelial features after multiple resections ( arch pathol lab med 2002;126:1104 ) ● dedifferentiated parotid tumor with facial nerve involvement but no prior surgery ( arch pathol lab med 2004;128:e52 ) ● parotid tumors in 35 year old father and his 16 year old daughter ( arch pathol lab med 1999;123:1118 ) ● elderly patient with mass behind ear representing metastatic tumor ( case of week #183 ) gross description ========================================================================= ● encapsulated, tan-gray, firm to soft, solid/cystic; usually < 3 cm ● 3% bilateral or multicentric micro description ========================================================================= ● at scanning power, basophillia and prominent lymphoid infiltrate should raise suspicion of acinic cell carcinoma ● tumor shows multidirectional differentiation towards acinar, ductal as well as myoepithelial elements ● some tumor cells must demonstrate differentiation towards acinar cells ● variable patterns: solid, microcystic, papillary cystic (associated with hemorrhage), follicular ● variable cell types: uniform acinar (serous) type cells with basophilic granular cytoplasm, clear cells (hypernephroid pattern, contains glycogen or mucin), vacuolated, intercalated duct, nonspecific glandular cells (smaller, syncytial) ● few mitotic figures ● may have prominent lymphoid follicles at periphery (lymphoid stroma), psammoma bodies micro images ========================================================================= papillary fronds with hobnail cells and vacuolated cells mic. http://nationalityinworldhistory.net/bsh-buy-viagra-on-the-internet-xd/ viagra dosage forms buy viagra generic viagra online Have prescription viagra viagra viagra dosage We live in Westminster, Maryland , we  provide our services  to Maryland, Pennsylvania, West Virginia, South Carolina, Georgia and Florida..
Give us a call and we will see if we can help you with  your needs.  We do charge an extra  fuel charge for work outside a 50 mile radius unless we already have horses scheduled in the area. 
We have created this site to inform horse owners of the importance of proper/routine dentistry.  It is important not only for your horse's overall health but, also for your equine partner's overall attitude and performance.
As you navigate through our site our goal is to answer your questions about  your horse's dental care.
Friendship Equine Dental Services, LLC
Joel T. Nupp,EqDT
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Insuring your horse is a healthier and happier  partner

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