Doug Van Alman

13 timestamped statements across 1 collection — auto-found in recorded discussions, each timestamp jumps to the exact moment.

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Ep 3 · 1:28
And you can also have lymphatic malformations near glandular tissue that have leaching of the saliva into it and you get a false positive.
Ep 3 · 2:16
When you have a cervical component, you can aspirate that and as long as you remove the sublingual gland, it should go away.

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Update Course Rewind 2025: Neck Pathologies - The Diagnostic Challenge

Ep 3 · 1:14
clinical It can be really hard to differentiate a giant ranula from a lymphatic malformation.
Ep 3 · 1:14
quote It can be really hard to differentiate a giant granula from a lymphatic malformation.
Ep 3 · 1:24
quote The lab tends to have trouble running this thick fluid.
Ep 3 · 1:24
clinical The lab tends to have trouble running thick fluid from aspirated neck masses.
Ep 3 · 1:28
clinical Lymphatic malformations near glandular tissue can have leaching of saliva into them, resulting in false positive amylase testing.
Ep 3 · 1:28
quote And you can also have lymphatic malformations near glandular tissue that have leaching of the saliva into it and you get a false positive.
Ep 3 · 2:10
guideline Removal of the sublingual gland has been the best practice for ranula treatment.
Ep 3 · 2:10
quote So from a granular perspective, removal of the sublingual gland has been the best practice.
Ep 3 · 2:16
quote When you have a cervical component, you can aspirate that and as long as you remove the sublingual gland, it should go away.
Ep 3 · 2:16
clinical When a ranula has a cervical component, you can aspirate that and as long as you remove the sublingual gland, it should go away.
Ep 3 · 2:25
clinical Micromarsupialization is a new technique for treating ranula with an intraoral component, involving placement of silk sutures through the cyst for 30 days to develop a fistula that spontaneously drains into the mouth.
Ep 3 · 2:53
clinical Gene panels now guide medical therapy for lymphatic malformations, particularly PIK3CA mutations which suggest that alpelisib (a PI3K alpha inhibitor) can be useful.
Ep 3 · 3:15
clinical For congenital developmental neck masses, you have to deal with the embryological component and etiology to prevent recurrence, not just excise the mass.