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Pathology Exam 3 > Chapter 7 Part 2 > Flashcards

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
Q

Most common site of the adenoid cystic carcinoma?

A

Parotid gland

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26
Q

Adenoid cystic carcinoma resembles what microscopically?

A

Swiss cheese

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27
Q

Treatment of adenoid cystic carcinoma

A

Surgical excision

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28
Q

What are the odontogenic tumors?

A

Epithelial odontogenic tumors
Mesenchymal odontogenic tumors
Mixed odontogenic tumors
Peripheral odontogenic tumors

29
Q

What are odontogenic tumors?

A

Derived from tooth forming structured. May be composed of epithelium, mesenchyme, or both.

30
Q

Most odontogenic tumors are what?

A

Benign

31
Q

What are the epithelial odontogenic tumors?

A

Ameloblastoma
Calcifying epithelial odontogenic tumor (CEOT)
Adenomatoid odontogenic tumor
Calcifying odontogenic cyst

32
Q

What is an ameloblastoma?

A

A benign, slow growing but local aggressive epithelial odontogenic tumor

33
Q

Where can the ameloblastoma occur?

A

The mandible or maxilla

34
Q

Where is the ameloblastoma most often found?

A

Mandible in the molar or ramus area

35
Q

What does the ameloblastoma look like radiographically?

A

Multilocular soap bubble or honey comb radiolucency

36
Q

Ameloblastoma may occur in association with what

A

A dentigerous cyst

37
Q

Recurrence of ameloblastomas is what?

A

Common

38
Q

Treatment of ameloblastomas

A

Surgical excision

39
Q

What is the calcifying epithelial odontogenic tumor?

A

A benign epithelial odontogenic tumor composed of islands and sheets of polyhedral epithelial cells

40
Q

Who does the CEOT most often affect?

A

Adults

41
Q

Where does the COET most often occur?

A

The mandible in the bicuspid and molar area

42
Q

Treatment of CEOT

A

Surgical excision

43
Q

What is an adenomatoid odontogenic tumor?

A

An encapsulated benign epithelial odontogenic tumor

44
Q

70% of adenomatoid odontogenic tumors occur in who?

A

Females younger than 20

45
Q

70% of adenomatoid odontogenic tumors involve what portion of the jaws?

A

Anterior

46
Q

Where are adenomatoid odontogenic tumors most common?

A

Maxilla

47
Q

What are many adenomatoid odontogenic tumors associated with?

A

Impacted teeth

48
Q

What are adenomatoid odontogenic tumors surrounded by?

A

A dense fibrous connective tissue capsule

49
Q

What does a adenomatoid odontogenic tumor consist of?

A

Ductlike structures, whorls, and large masses of cuboidal and spindle shaped epithelial cells

50
Q

Treatment of adenomatoid odontogenic tumors

A

Enucleation

51
Q

What is the calcifying odontogenic cyst?

A

A nonagressive cystic lesion lined by odontogenic epithelium

52
Q

Who is the calcifying odontogenic cyst most commonly seen in?

A

Individuals under 40

53
Q

Has an associated characteristic ghost cell keratinization

A

Calcifying odontogenic cyst

54
Q

Treatment of the calcifying odontogenic cyst

A

Surgical enucleation

55
Q

Mesenchymal odontogenic tumors

A

Benign cementoblastoma

56
Q

What is a benign cementoblastoma?

A

A cementum producing lesion

57
Q

Treatment of the benign cementoblastoma?

A

Enucleation of the tumor and removal of the involved tooth

58
Q

What is enucleation?

A

Cleaning out of the cyst and the lining

59
Q

Does a benign cementoblastoma reoccur?

A

No

60
Q

Mixed odontogenic tumors

A

Ameloblastic fibroma

Odontoma

61
Q

What is the ameloblastic fibroma?

A

A benign nonencapsulated odontogenic tumor

62
Q

Who does the ameloblastic fibroma occur in?

A

Young children and young adults (more often males)

63
Q

Where is the ameloblastic fibroma most commonly found?

A

Mandibular bicuspid and molar region

64
Q

Treatment of ameloblastic fibroma

A

Surgical excision with low recurrence rate

65
Q

What is a compound odontoma?

A

A mass that resembles teeth

Usually located in anterior maxilla

66
Q

Complex odontogenic tumor

A

A mass that does not resemble teeth

Usually in posterior mandible

67
Q

Who are odontogenic tumors most often found in?

A

Adolescents and young adults

68
Q

Clinical manifestation of odontogenic tumor

A

Failure of tooth to erupt

69
Q

Treatment of odontogenic tumor

A

Surgical excision

Pathology Exam 3 (6 decks)

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