Chapter 7 Part 2 Flashcards

1
Q

What are the salivary gland tumors?

A

Pleomorphic adenoma
Monomorphic adenoma
Adenoid cystic carcinoma (cylindroma)
Mucoepidermoid carcinoma

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2
Q

Where are tumors of the minor salivary gland more common?

A

Upper lip

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3
Q

Pleomorphic

A

Many shapes

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4
Q

Oma

A

Tumor

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5
Q

Aden

A

Salivary

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6
Q

Where may salivary gland tumors arise?

A

Major or minor salivary glands

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7
Q

Where are minor salivary gland tumors most often located?

A

The junction of the hard and soft palate

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8
Q

Which tumor makes up 90% of all salivary gland tumors?

A

Pleomorphic adenoma (benign mixed tumor)

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9
Q

What is a pleomorphic adenoma (benign mixed tumor)?

A

A benign salivary gland tumor

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10
Q

Where is the most common extraoral location of the pleomorphic adenoma?

A

Parotid gland

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11
Q

Where is the most common intraoral location of the pleomorphic adenoma?

A

The palate

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12
Q

Which lesions have been known to undergo malignant transformation?

A

Pleomorphic adenoma

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13
Q

What does the pleomorphic adenoma look like clinically and what’s the treatment?

A

Slowly enlarging, nonulcerated, painless, dome shaped mass

Treatment is surgical excision and recurrence is rare

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14
Q

What is a monomorphic adenoma (warthin tumor)?

A

A benign encapsulated salivary gland tumor that has lymphoid tissue and a uniform pattern of epithelial cells

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15
Q

Where and in who does the monomorphic adenoma most occur?

A

In females and on the upper lip and buccal mucosa (rarely intraorally)

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16
Q

Treatment of the monomorphic adenoma

A

Surgical excision

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17
Q

What is a mucoepidermal carcinoma?

A

A malignant salivary gland tumor

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18
Q

Where are major mucoepidermal carcinomas most often found majorly and minorly?

A

Major - parotid gland

Minor- palate

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19
Q

What does a mucoepidermoid carcinoma look like clinically?

A

Slow enlarging masses

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20
Q

Malignant

A

Cancer

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21
Q

Carcinoma

A

Epithelial tissue

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22
Q

Who does the mucoepidermoid carcinoma occur in?

A

Usually adult females but most common malignant salivary gland tumor in children

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23
Q

Treatment of mucoepidermoid carcinoma

A

Surgical excision

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24
Q

What is an adenoid cystic carcinoma (cylindroma)?

A

A slow growing malignant tumor of either major or minor salivary gland tissue that may be ulcerated and painful

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25
Most common site of the adenoid cystic carcinoma?
Parotid gland
26
Adenoid cystic carcinoma resembles what microscopically?
Swiss cheese
27
Treatment of adenoid cystic carcinoma
Surgical excision
28
What are the odontogenic tumors?
Epithelial odontogenic tumors Mesenchymal odontogenic tumors Mixed odontogenic tumors Peripheral odontogenic tumors
29
What are odontogenic tumors?
Derived from tooth forming structured. May be composed of epithelium, mesenchyme, or both.
30
Most odontogenic tumors are what?
Benign
31
What are the epithelial odontogenic tumors?
Ameloblastoma Calcifying epithelial odontogenic tumor (CEOT) Adenomatoid odontogenic tumor Calcifying odontogenic cyst
32
What is an ameloblastoma?
A benign, slow growing but local aggressive epithelial odontogenic tumor
33
Where can the ameloblastoma occur?
The mandible or maxilla
34
Where is the ameloblastoma most often found?
Mandible in the molar or ramus area
35
What does the ameloblastoma look like radiographically?
Multilocular soap bubble or honey comb radiolucency
36
Ameloblastoma may occur in association with what
A dentigerous cyst
37
Recurrence of ameloblastomas is what?
Common
38
Treatment of ameloblastomas
Surgical excision
39
What is the calcifying epithelial odontogenic tumor?
A benign epithelial odontogenic tumor composed of islands and sheets of polyhedral epithelial cells
40
Who does the CEOT most often affect?
Adults
41
Where does the COET most often occur?
The mandible in the bicuspid and molar area
42
Treatment of CEOT
Surgical excision
43
What is an adenomatoid odontogenic tumor?
An encapsulated benign epithelial odontogenic tumor
44
70% of adenomatoid odontogenic tumors occur in who?
Females younger than 20
45
70% of adenomatoid odontogenic tumors involve what portion of the jaws?
Anterior
46
Where are adenomatoid odontogenic tumors most common?
Maxilla
47
What are many adenomatoid odontogenic tumors associated with?
Impacted teeth
48
What are adenomatoid odontogenic tumors surrounded by?
A dense fibrous connective tissue capsule
49
What does a adenomatoid odontogenic tumor consist of?
Ductlike structures, whorls, and large masses of cuboidal and spindle shaped epithelial cells
50
Treatment of adenomatoid odontogenic tumors
Enucleation
51
What is the calcifying odontogenic cyst?
A nonagressive cystic lesion lined by odontogenic epithelium
52
Who is the calcifying odontogenic cyst most commonly seen in?
Individuals under 40
53
Has an associated characteristic ghost cell keratinization
Calcifying odontogenic cyst
54
Treatment of the calcifying odontogenic cyst
Surgical enucleation
55
Mesenchymal odontogenic tumors
Benign cementoblastoma
56
What is a benign cementoblastoma?
A cementum producing lesion
57
Treatment of the benign cementoblastoma?
Enucleation of the tumor and removal of the involved tooth
58
What is enucleation?
Cleaning out of the cyst and the lining
59
Does a benign cementoblastoma reoccur?
No
60
Mixed odontogenic tumors
Ameloblastic fibroma | Odontoma
61
What is the ameloblastic fibroma?
A benign nonencapsulated odontogenic tumor
62
Who does the ameloblastic fibroma occur in?
Young children and young adults (more often males)
63
Where is the ameloblastic fibroma most commonly found?
Mandibular bicuspid and molar region
64
Treatment of ameloblastic fibroma
Surgical excision with low recurrence rate
65
What is a compound odontoma?
A mass that resembles teeth | Usually located in anterior maxilla
66
Complex odontogenic tumor
A mass that does not resemble teeth | Usually in posterior mandible
67
Who are odontogenic tumors most often found in?
Adolescents and young adults
68
Clinical manifestation of odontogenic tumor
Failure of tooth to erupt
69
Treatment of odontogenic tumor
Surgical excision