Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Oral Pathology - My deck > Chapter 12 > Flashcards

Chapter 12 Flashcards

1
Q

What term describes a reactive hyperplasia of CT in response to local irritation or trauma?

A

Fibroma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the most common site of a fibroma?

A

Buccal muscosa along the occlusal line

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the common clinical presentation of a fibroma?

A

An asymptomatic, sessile, smooth surface nodule that is similar in color to the surround mucosa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the treatment for a fibroma?

A

Conservative surgical excision– Must submit to pathology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the most common tumor of the oral cavity, and why is it not a true tumor?

A

Fibroma, not a true tumor since it is an inflammatory response

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What term describes a fibrous tumor with distinctive features and is not associated with chronic irritation?

A

Giant cell fibroma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the clinical presentation of a giant cell fibroma?

A

They usually stay small (<1 cm), and typically have a papillary surface (like cobblestone)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

In what population are giant cell fibromas more common?

A

They usually occur at a younger age than other fibromas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Where do giant cell fibromas usually occur?

A

Predilection for the gingival

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What term describes a typically bilateral nodule on gingiva, lingual to the mandibular cuspid?

A

Retrocuspid papilla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the treatment for a retrocuspid papilla?

A

None, they usually regress with age! But make note in patients chart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the treatment for a giant cell fibroma?

A

Conservative surgical excision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What term describes a tumor like hyperplasia of fibrous CT?

A

Inflammatory fibrous hyperplasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What term describes inflammatory fibrous hyperplasia associated with the flange of an ill fitting denture?

A

Epulis fissuratum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Where does epulis fissuratum usually occur?

A

On the facial aspect of the alveolar ridge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the treatment for inflammatory fibrous hyperplasia?

A

Surgical remocal and if associated with a denture, then remake the denture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What term describes a reactive tissue growth that develops under a denture and ahs a pebbly or papillary surface?

A

Inflammatory papillary hyperplasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is inflammatory papillary hyperplasia related to?

A

Ill fitting denture, poor denture hygiene, or wearing denture 24 hours a day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What percentage of patients that continually wear their denture have inflammatory papillary hyperplasia?

A

20% of patients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is the clinical presentation of inflammatory papillary hyperplasia?

A

Asymptomatic, erythematous tissue with a pebbly or papillary surface

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What other infection do patients also have in association with inflammatroy papillary hyperplasia?

A

Candidal infection (dentur stomatitis/erythematous candida)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

How is inflammatory papillary hyperplasia treated?

A

Early lesions, removal of the denture and antifungal therapy. For advanced lesions, surgical removal may be needed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What term describes a lesion that results from overproduction of hyaluronic acid by fibroblasts?

A

Oral focal mucinosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

The skin counterpart of oral focal mucinosis is called ________ _______ ______.

A

Cutaneous focal mucinosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
In what population are oral focal mucinosis more common?
Most common in young females
26
Where do oral focal mucinosis nodules occur?
2/3 occur on the gingiva, 1/3 occur on the hard palate
27
How is oral focal mucinosis treated?
Surgical excision
28
What term describes a reactive lesion to local irritation or trauma that is not a true granuloma?
Pyogenic granuloma
29
Where doe pyogenic granulomas usually occur?
Gingiva (75%), then lips, tongue and buccal mucosa
30
In what population are pyogenic granulomas most common?
In children and young adults
31
What is the clinical presentation of a pyogenic granuloma?
Smooth or lobulated pink or red mass that is typically pedunculated, and may exhibit rapid growth. Surface is characteristically ulcerated and bleeds easily
32
What are 2 other names for a pyogenic granuloma?
Pregnancy tumor or granuloma gravidarum
33
Why are pyogenic granulomas typically red in appearance?
Because of the capillary blood vessels within it
34
What is the treatment for a pyogenic granuloma?
Surgical excision, and for gingival lesions the excision should extend to the periosteum and adjacent teeth. For lesions developing during pregnancy, defer treatment because sometimes the lesion will resolve after birth, unless functional or aesthetic problems develop.
35
Is it common for pyongenic granulomas to recur?
Yes, they can occasionally recur
36
What term describes a reactive lesions caused by local irritation or trauma that may produce a cupping resorption of the underlying alveolar bone?
Peripheral giant cell granuloma
37
Where do peripheral giant cell granulomas occur?
They occur exclusively on the gingiva or edentulous alveolar ridge
38
What is the clinical presentation of a peripheral giant cell granuloma?
Erythematous mass similar to a pyogenic granuloma (ulcerated about half the time) but is often more blue or purple.
39
In what population and age do peripheral giant cell granulomas usually occur?
At 35, 60% in females
40
How is a peripheral giant cell granuloma treated?
Surgical excision down to underlying bone and adjacent teeth should be scaled
41
Is recurrence common for peripheral giant cell granulomas?
No, 10% recur
42
What term describes a nodular mass due to irritation or trauma that is not usually erythematous, may or may not have bone formation within the mass (white appearance)?
Peripheral ossifying granuloma
43
Where do peripheral ossifying granulomas usually occur?
Exclusively on the gingiva, commonly in the incisor-cuspid region (... they arise from the dental papilla)
44
In what population and at what age do peripheral ossifying granulomas most commonly occur?
At 15, 2/3 in females
45
What is the treatment for a peripheral ossifying fibroma?
Surgical excision down to the underlying bown, and scaling of the adjacent teeth
46
Is it common for peripheral ossifying fibromas to recur?
No, 15% recur
47
What term describes a benign tumor of fat?
Lipoma
48
A lipoma is the most common ____ _______.
Most common mesenchymal neoplasm
49
Where do lipomas usually occur?
On that trunk, but intraorally they occur on the buccal mucosa
50
In what population and at what age are lipomas most common?
In obese patients, and most patients are older than 40
51
What is the clinical presentation of a lipoma?
A yellow or mucosal colored soft, smooth surfaced nodular mass
52
What is the diagnostic characteristic of lipomas?
They float in formalin
53
How are lipomas treated?
Surgical excision
54
What term describes a proliferation of neural tissue?
Neuroma
55
What are the 2 types of neuromas?
Traumatic neuromaor palisaded encapsulated neuroma
56
What is the most common location for a traumatic neuroma?
Most common in the mental foramen area
57
Why are traumatic neuromas not true neoplasms?
Because they occur after nerve injury
58
What is the treatment for traumatic neuroma?
Surgical excision
59
What term describes a benign neural neoplasm of schwann cell origin?
Schwannoma
60
What is another name for schwannoma?
Neurilemoma
61
Describe the growth of a schwannoma
A slow growing, encapsulated tumor which arises in association with a nerve trunk, and is typically asymptomatic
62
In what population are schwannomas most common?
In young and middle aged adults
63
What is the most common site of occurence of schwannomas?
The tongue
64
What are the histopathologic features of a schwannoma?
Antoni A and Antoni B features
65
Describe Antoni A
Streaming fascicles of spindle-shaped Schwann cells which form a palisaded arrangement around central acellular, eosinophilic areas known as verocay bodies
66
What is the most common type of peripheral nerve neoplasm?
Neurofibroma
67
Neurofibromas can be a component of what disease?
Neurofibromatosis, or they can arise as solitary tumors
68
In what population are neurofibromas most common?
In young adults
69
Describe the clinical presentation of neurofibromas?
Slow growing, soft, painless lesions
70
Where do neurofibromas most commonly occur?
In skin, but intraorally they occur on the tongue and the buccal mucosa
71
How are neurofibromas treated?
Surgical excision, but any patient with a lesion diagnosed as a neurofibroma must be evaluated for neurofibromatosis
72
What is the most common form of neurofibromatosis?
Neurofibromatosis type I
73
What is another name for neurofibromatosis type I?
von Recklinghausen's disease of the skin
74
Is NF type I autosomal dominant or recessive?
Autosomal dominant
75
What is the pathognomonic characteristic or NF I?
Plexiform variant of neurofibromatosis
76
Describe plexiform variant of neurofibromatosis
Feels like a bag of worm
77
What are the diagnostic criteria for neurofibromatosis?
6+ cafe au lait macules that have coast of california border, 2+ NF or 1 plexiform NF, Crowe's signs, optic glioma, 2+ iris hamartomas (lisch nodules), osseous lesion (like sphenoid dysplasia), 1st degree relative with NF1
78
What are the oral manifestations of NF1? (oral manifestations occur in 90%)
Enlargement of the fungiform papilla (in 50%), intraoral neurofibromas (in 25%), enlargement of the mandibular foramen or canal
79
What is treatment for NF1?
Prevention or management of complications, and genetic counseling is extremely important
80
What malignancies are associated with NF1?
Malignant peripheral nerve sheath tumors (up to 5%), and other various malignancies
81
What is a characteristic feature of neurofibromatosis type II?
Bilateral schwannomas of auditory vestibular nerve
82
Is NF II autosomal recessive or dominant?
Autosomal dominant
83
What is the cause of NF II?
Mutation of a tumor suppressor gene on chromosome 22
84
What are the other features of NFII?
Acoustic neuromas of vestibular nerve, meningiomas and ependymomas of the CNS
85
What are some symptoms of NFII?
Deafness, dizziness, tinnitus

Oral Pathology - My deck (22 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions