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Oral Pathology > Benign Epithelial Lesions? > Flashcards

Benign Epithelial Lesions? Flashcards

1
Q

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

A

squamous pappilloma

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2
Q

what are the clinical signs of squamous pappilloma?

A
  • SOLITARY lesion, often found on soft palate/uvula, or tongue
  • Papillary fronds, usually pedunculated, may be sessile
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3
Q

what is the color or squamous papilloma?

A

reddish to white

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4
Q

what is the tx of squamous papilloma?

A

-conservative excision

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5
Q

what is the px for squamous papilloma?

A
  • excellent

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

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6
Q

-“common wart”

A

verruca vulgaris

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7
Q

what causes verruca vulgaris?

A

several strains of HPV

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8
Q

who does verruca vulgaris usually affect?

A

children (hands and facial skin)

-intraoral lesions uncommon

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9
Q

what are the clinical presentations of verruca vulgaris?

A

usually sessile, exophytic, papillary lesion

-often multiple

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10
Q

what is the tx of verruca vulgaris?

A
  • spontaneous regression common in kids
  • excision, cryotherapy, keratolytic agents
  • may recur
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11
Q

“venereal wart”

A

condyloma acuminatum

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12
Q

how is condyloma acuminatum spread?

A

direct contact

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13
Q

where is condyloma acuminatum spread?

A

labial mucosa, soft palate, lingual frenum

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14
Q

what causes condyloma acuminatum?

A

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

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15
Q

who does condyloma acuminatum affect most?

A

teenagers and young adults

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16
Q

what is the clinical description of condyloma acuminatum?

A

MULTIPLE sessile papules or plaques with a cauliflower-like surface

17
Q

what is the tx for condyloma acuinatum?

A

-excision, cryotherapy, laser ablation

18
Q

is recurrence common for condyloma acuminatum?

A

-yes, 30% of pts

19
Q

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

A

seborrheic keratosis

20
Q

where do you normally find seborrheic keratosis?

A
  • sun exposed surfaces

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

21
Q

what age group is most often affected by seborrheic keratosis?

A

40 and over

22
Q

what is the clinical presentation of seborrheic keratosis?

A
  • 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”
23
Q

what are variations of seborrheic keratosis known as?

A

DERMATOSIS PAPULOSA NIGRA

24
Q

who does dermatosis papulosa nigra primarily affect?

A

affects 35% of AAs

  • autosomal dominant inheritance
  • onset during adolescence
25
Q

what is the clinical presentation of dermatosis papuloasa nigra

A

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

26
Q

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

A

sebacceous hyperplasia

27
Q

what might sebacceous hyperplasia be mistaken for?

A

basal cell carcinoma

28
Q

what is a helpful diagnostic aid for sebacceous hyperplasia?

A

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

29
Q

what is the tx for sebacceous hyperplasia

A
  • none is necessary

- simple surgical excision for cosmetic purposes or to rule out basal cell carcinoma

30
Q

what is the px for sebacceous hyperplasia?

A

excellent

31
Q

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

A

nicotine stomatosis

32
Q

what is nicotine stomatosis associated with?

A

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
33
Q

how do you dx nicotine stomatosis?

A

clinically

34
Q

what is the treatment for nicotine stomatosis?

A

-none needed but pt should be encouraged to quit smoking

35
Q

what is the px for nicotine stomatosis?

A
  • excellent, not precancerous

- should resolve within 1-2 weeks of smoking cessation

Oral Pathology (9 decks)

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