1 - common lesions Flashcards
“mole”
junctional compound - intradermal/intramucosal
benign melanocytic lesion
nevus
often notice a decrease in pigmentation as nevi progress from junctional to compound to intradermal
“freckles”
brown pigmentation that develops following sun exposure
more common in children and fair skinned individuals
ephelides
benign melanocytic lesion
macular (flat)
increase in number in whites with age, no change in color intensity with exposure to UV light
lentigo
benign skin lesion with a “stuck on” appearance
looks like dropped on candlewax
seborrheic keratosis
variant of seborrheic keratosis that occurs in ~30% of black population
dermatosis papulosa nigra
precursor lesion for cutaneous scc
“sandpaper” texture
actinic keratosis
either surgical excision or
topical immune-activating agents such as Aldara (imiquimod 5%) Cream is)
limit sun exposure
_ capillaries - prominent vessels
often an indication of sun damage
telangestatic capillaries
central umbilication, usually over 40 years old often seen on forehead,
once achieve 1-2mm minimal to no further growth
sebaceous hyperplasia
sebaceous duct
most common cancer in humans
“mask” area, rolled borders, umbilicated center, and telangiectasia
also associated with nevoid basal cell carcinoma syndrome
basal cell carcinoma
ectopic sebaceous glands
can be seen anywhere in the mouth, buccal mucosa most common location also lips
fordyce granules
assoicated with loss of VDO
Candida, some may have co-infection with Staph
if external only - topical antifungal/corticosteroid cream`
angular cheilitis
most common site for recurrent HSV-1 is vermilion border and adjacent perioral skin
herpes labialis
focal increase in melanin: also can occur as reactive melanosis in response to local trauma
melanotic macule
focal deposition of mucous - cause is damage to associated minor salivary gland duct
mucocele
tx - conversative remove extravasated mucous and associated minor salivary glands
intracellular edema
leukoedema
benign collection of dense fibrous CT, conservative removal
fibroma
immunologically mediated process “Striae” pr lacy clinical presentation
does not wipe off
Lichen Planus
lichenoid mucositis - descriptive term which could apply to several conditions
maxillary torus
comprised of dense _ bone
vital lamellar bone
found under ill fitting denture or rpd
may also reflect nearly constant wear
inflammatory papillary hyperplasia
noted with high vault
conservative excision and new denture
inflamed minor salivary glands of the palate with hyperkeratosis around the orifices
most commonly seen in pipe smokers - long term hot beverages
nicotine stomatitis
overgrowth of chromogenic bacteria and filiform papillae
black hairy tongue
difference btw fissured and geographic tongue
fiissured tongue - grooves
geographic - may be symptomatic to spicy or acidic
Vertical lines at posterior lateral tongue often see lympoid tissue in that area as well
_ papilla - part of Waldeyer’s ring
Foliate papilla
intra oral opening of sinus tract
rule out an odontogenic source of infection
Parulis
