Exam 3 Soft Tissue Tumors (No effect) Flashcards
Where does carcinoma and sarcoma originate from and indicates
A malignant tumor of epithelial origin and sarcoma which indicates a malignant tumor of Connective tissue origin.
What are the difference between carcinoma and sarcoma?
- Carcinomas are 10 times more common than sarcomas
Where does carcinoma metastaize?
Lymphatic system
Where does sarcomas metastasize?
Circulatory system
Tumors of soft tissue include?
- benign and malignant tumors of adipose (fat) tissue, nerve, muscle, blood, and lymphatic
vessels. - But it is not completely independent from
bone
Benign Tumors of Fibrous CT are?
- Reactive hyperplasias the most common
- Result from overzealous repair
- Composed of collagen, endothelial cells,cementum and/or bone, or giant cells
- If on the gingiva and you don’t know its exact histological nature, it’s called an EPULIS
- Common lesions include the Fibroma, Ossifying fibroma, Pyogenic granuloma, and Giant cell granulomas
What is a Fibroma ?
- Also called irritation or traumatic fibroma
- Occurs in response to chronic trauma like cheek biting
What is fibroma composed of ?
dense scar-like CT with lots of collagen fibers and few blood vessels.
How does Fibroma appear?
appears as a domelike growth with smooth surface and normal color
What is the treatment of fibroma?
Excision- but will not resolve spontaneously due to excess collagen
What is Epulis Fissuratum?
A type of Irritation fibroma
What is epulis fissuratum caused by?
Ill fitting dentures
What is a frenal tag?
- Hyperplastic fibrous tissue
- Small finger like projection
What is the frenal tag treatment?
Does not require treatment
What is ossifying fibroma?
A reactive hyperplasia found on the gingiva
Where does ossifying fibroma origininates from?
From the PDL where
Fibroma
Epulis Fissuratum
Ossifying Fibroma
What is pygogenic granuloma?
- Fast Growing
- Occurs as exuberant granulation to irritation
- Appears Fiery red, bleeds easily
- Pregnancy Tumors- second and third trimesters
pygogenic granuloma/ pregnancy tumor
Giant Cell Granuloma is ?
- Ulcerated, bleeding
- Occus on the gingiva
- Reactive hyperplasia
- Develops in response to an irritant
- Younger patient, most common in females
- Chronic inflammatory cells seen, multinucleated giant cells- along with well vascularozed CT
Giant Cell Granuloma
What type of Giant Cell Granuloma occurs in the gingiva?
Peripheral Giant Cell Granuloma
What type of giant cell granuloma occurs with the bone?
Central Giant Cell Granuloma
What are Lipoma ?
- A benign neoplasm of normal fat cells
- Feels soft on palpation
Lipoma
What is Hemangioma?
- A proliferation of capillaries
- Present at birth or arise soon after
- Color is red-blue or purple
Hemangioma
Hemangioma
What is Lymphangioma?
- Benign proliferation of lymphatic vessels
- Oral site: Tongue
- Present at birth
Lymphangioma
Hemangioma
What is Osteoma ?
- A benign Tumor of normal-appearing compact bone
- Well defined radiopacity
- Endosteal: withinbone
- Periosteal attache to outter bone
Osteoma
What is fibrosarcoma?
- A malignant lesion of fibroblasts
- Firm to palpation and fixed adajacent tissue
Fibrosarcoma
What is Kaposi Sarcoma ?
A unique angiosarcoma seen as classic kaposi sarcoma in elderly men or those with HIV
Kaposi Sarcoma
Kaposi Sarcoma
Kaposi Sarcoma
What is a osteosarcoma?
- Most Common malignant tumor of bone
- Average age 37
- Most common site: jawbones
- Swelling- painful
- Tooth mobility
Osteosarcoma
What is a Chondrosarcoma?
- Uncommon malignant bone lesion
- Peak age: 30-40 years of age
- Occurs in Anterior maxilla, premolar areas of the mandible
- 5 year survival rate- 30%
Chondrosarcoma
Chondrosarcoma
What is Lymphoma?
- Malignant Tumor of Lymphoid tissue
- Clinical staging determines prognosis
What are the 3 types of lymphoma?
Hodgkins Lymphoma
Non-Hodgkins lymphoma
Burkitt Lymphoma
Hodgkins Lymphoma is a?
- Malignant tumor
- REED-STERNBERG cell is linked to Epstein Bar Virus infection
- Common in 15-35 years old
Non- Hodgkins Lymphoma
- 70% of lymphomas
- No Reed-sternberg cells seen
- B-cells in older age group
Burkitt Lymphoma
- Associated with epstein barr virus- w/ AIDS
- First seen young children in Africa
What are the Signs of lymphoma?
- Cervical nodes- enlarges
- Low grade fever and night sweats
- liver spleen, maxillary and inguinal nodes
- Seen with HIV
Lymphoma
Lymphoma
Describe Multiple Myeloma
- Neoplasm of B- Lymphocytes
- Located within the bone, multiple skeletal sites
- Seen later in life 70s
- Stimulates toothache
*
Multiple Myeloma
What is Neuroma?
A hyperplasia resulting when damages nerve attempts to reunite with severed portion
Neurofibroma and Schwannoma
Benign neoplasms of schwann cells
neurofibroma
schwannoma
What is another name for Von Recklinghausen disease/ Elephant man
Multiple Neurofibromatosis
Multople neurofibromatosis/ Elephant man
Maligant Nerve tumor
What are Tumors of Muscle
- Rhabdomyoma (Benign)- striated muscle
- Common site on the tongue
- Rhabdomyosarcoma (Malignant)- seen in periorbital tissue of children
Rhabdomyoma