common oral dx day 2 Flashcards
pyogenic granuloma lesion type
- A reactive vascular lesion - essentially a capillary hemangioma
pyogenic granuloma gender
Definite female predilection - vascular effects of hormones
pyogenic granuloma misnomer
Name is a misnomer. It is unrelated to infection. It is not
“pyogenic” and is not a true granuloma
pyogenic granuloma growth
may be rapid
where can pyogenic granulomas occur? most common site?
Gingiva most common site, but not limited to gingiva. It
occurs throughout the body on any skin or mucosal
surface
dif dx?
pyogenic grnauloma
PERIPHERAL OSSIFYING FIBROMA
PERIPHERAL GIANT CELL GRANULOMA
pyogenic granuloma histo
surface stratified squamous epithelium overlying a proliferation of endothelial lined channels mixed with acute and chronic inflammatory cells
pyogenic granuloma base?
sessile or pedunculated
pyogenic granuloma app
nodule located on the gingiva, can be lobulated, erthymatous/ mucosal colored
sessile/pedunculated
pyogenic granuloma effect on teeth?
can displace them
biopsy displayed endothelial hyperplasia along with A/C inflammatory cells within a strat squamous epithelium
pyogenic granuloma
Granuloma gravidarum
Pregnancy Tumor
* A clinical variant of pyogenic granuloma
* May involute without treatment post partum and undergo fibrous maturation
Peripheral Ossifying Fibroma
* lesion type
* demo age
* Not related to?
* Occurs exclusively where?
* histo?
* recurrence?
* effects on teeth?
- Reactive lesion – not a neoplasm
- Teenagers and young adults
- Not related to central ossifying fibroma
- Occurs exclusively on the gingiva
- Fibrous hyperplasia with osseous metaplasia - may
appear radio-opaque - May recur
- May move teeth
peripheral oss fibroma app
nodule on the gingiva, usually mucosal colored and sessile
capable of displacing teeth
dif
pyogenic granuloma
peripheral oss. fibroma
peripheral GCG
biopsy from a gingival nodule of 17 y/o, what could this be?
Peripheral oss. fibroma, fibrous hyperplasia along with osseous metaplasia
biopsy of a removed nodule from btwn two teeth, what is this?
peripheral oss fibroma
pano with a nodule on the gingiva, what could this be?
peripheral oss fibroma, calcification in the soft tissue
Peripheral Giant Cell Granuloma
* lesion type?
* age?
* Occurs exclusively where?
* Contains? may app?
* recurrence?
- Reactive lesion – not a neoplasm
- Older adults
- Occurs exclusively on gingiva and edentulous alveolar ridge
- Contains hemosiderin - may be bluish-purple
- May recur
PGCG app
nodule located on the gingiva, can appear colored due to hemosiderin, usually sessile in pictures shown
dif
pyogenic granuloma
per. oss. fibroma
PGCG
most likley dx out of the 3 P’s?
PGCG, coloration
how could PGCG be evidenced on a radiograph?
pressure resorb
biopsy from nodule on the gingiva of a 58 y/o, what is this?
PGCG
PGCG histo
strat squamous epithelium lining
conn tissue with multi nuc giant cells and RBCs
duct-like spaces present butn not mentioned?
Human Papilloma Virus potential dx’s?
- Squamous papilloma
- Verruca vulgaris
- Condyloma acuminatum
Squamous Papilloma
* #/ demo?
* app?
- Solitary lesion in adult (can be more than 1)
- Pedunculated, exophytic papule
- Numerous surface projections
dif
squamous papilloma
verruca vulgaris
dif
squamous papilloma
verruca vulgaris
Verruca Vulgaris
* where on body? age group?
* common presentation?
* oral mucosa?
very contagious spread
* Skin of hands in children
* Multiple, clustered lesions common
* White, verrucoid surface
* Autoinoculation of oral mucosa
Verruca Vulgaris
high risk HPVs
16 and 18