Benign Epithelial Lesions?

Question 1

most common benign epithelial neoplasm seen intraorally, HPV-associated (lower strains)

Answer 1

squamous pappilloma

Question 2

what are the clinical signs of squamous pappilloma?

Answer 2

• SOLITARY lesion, often found on soft palate/uvula, or tongue
• Papillary fronds, usually pedunculated, may be sessile

Question 3

what is the color or squamous papilloma?

Answer 3

reddish to white

Question 4

what is the tx of squamous papilloma?

Answer 4

-conservative excision

Question 5

what is the px for squamous papilloma?

Answer 5

• excellent

- limited grown potental, recurrences are uncommon, no risk of malignancy

Question 6

-“common wart”

Answer 6

verruca vulgaris

Question 7

what causes verruca vulgaris?

Answer 7

several strains of HPV

Question 8

who does verruca vulgaris usually affect?

Answer 8

children (hands and facial skin)

-intraoral lesions uncommon

Question 9

what are the clinical presentations of verruca vulgaris?

Answer 9

usually sessile, exophytic, papillary lesion

-often multiple

Question 10

what is the tx of verruca vulgaris?

Answer 10

• spontaneous regression common in kids
• excision, cryotherapy, keratolytic agents
• may recur

Question 11

“venereal wart”

Answer 11

condyloma acuminatum

Question 12

how is condyloma acuminatum spread?

Answer 12

direct contact

Question 13

where is condyloma acuminatum spread?

Answer 13

labial mucosa, soft palate, lingual frenum

Question 14

what causes condyloma acuminatum?

Answer 14

several strains of HPV, including types 6 and 11 as well as high risk strains

Question 15

who does condyloma acuminatum affect most?

Answer 15

teenagers and young adults

Question 16

what is the clinical description of condyloma acuminatum?

Answer 16

MULTIPLE sessile papules or plaques with a cauliflower-like surface

Question 17

what is the tx for condyloma acuinatum?

Answer 17

-excision, cryotherapy, laser ablation

Question 18

is recurrence common for condyloma acuminatum?

Answer 18

-yes, 30% of pts

Question 19

very common benign cutaneous lesion of epidermal origin that occurs at SUN EXPOSED SURFACES

Answer 19

seborrheic keratosis

Question 20

where do you normally find seborrheic keratosis?

Answer 20

• sun exposed surfaces

- face, trunk, extremities (areas with numerous sebaceaous glands)[not palms or soles]

Question 21

what age group is most often affected by seborrheic keratosis?

Answer 21

40 and over

Question 22

what is the clinical presentation of seborrheic keratosis?

Answer 22

• sharply demarcated, slightly raised plaques
• range in color from tan, brown, to nearly black
• have a “stuck on” appearance - “dirty candle wax dripped into skin” or “mud thrown against a brick wall”

Question 23

what are variations of seborrheic keratosis known as?

Answer 23

DERMATOSIS PAPULOSA NIGRA

Question 24

who does dermatosis papulosa nigra primarily affect?

Answer 24

affects 35% of AAs

• autosomal dominant inheritance
• onset during adolescence

Question 25

what is the clinical presentation of dermatosis papuloasa nigra

Answer 25

appear as small (1-2mm diameter), smooth, dark papules located on the face, particularly in the malar region

Question 26

a relatively common benign process that most often occurs on the facial skin of middle aged or older adults that may be solitary or several umbilicated papules with a yellowish tinge, 1-5mm in diameter

Answer 26

sebacceous hyperplasia

Question 27

what might sebacceous hyperplasia be mistaken for?

Answer 27

basal cell carcinoma

Question 28

what is a helpful diagnostic aid for sebacceous hyperplasia?

Answer 28

pressure towards the center of the lesion often expresses sebum into the central depression

Question 29

what is the tx for sebacceous hyperplasia

Answer 29

- none is necessary | - simple surgical excision for cosmetic purposes or to rule out basal cell carcinoma

Question 30

what is the px for sebacceous hyperplasia?

Answer 30

excellent

Question 31

diffuse white appearance to the palatal mucosa, surface may be wrinkly or fissured. elevated papules with puctated red centers (represent inflamed salivary gland orifices)

Answer 31

nicotine stomatosis

Question 32

what is nicotine stomatosis associated with?

Answer 32

smoking, especially pipe or cigar - a response to HEAT generated, rather than chemicals in the tobacco smoke * chronic drinking of hot beverages elicits the same response

Question 33

how do you dx nicotine stomatosis?

Answer 33

clinically

Question 34

what is the treatment for nicotine stomatosis?

Answer 34

-none needed but pt should be encouraged to quit smoking

Question 35

what is the px for nicotine stomatosis?

Answer 35

- excellent, not precancerous | - should resolve within 1-2 weeks of smoking cessation