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Dental Pathology > Head and Neck > Flashcards

Head and Neck Flashcards

1
Q

most common ulcer of the mouth; 20% of population; recurrent; painful

A

recurrent aphthous ulcers (canker sore)

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2
Q

acute gingivostomatitis

A

HSV primary infection

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3
Q

best recognized form of candidal infection; adherent white plaque; caused by broad spectrum antibiotics/immunosuppression; mild burning sensation/unpleasant taste

A

acute pseudomembranous candidiasis

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4
Q

red, macule, burning sensation, tongue as the most common site, diffuse atrophy of dorsal tongue papillae; maybe caused by broad-spectrum antibiotic therapy

A

erythematous candidiasis

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5
Q

erythematous candidiasis; referred to as “median rhomboid glossitis” in the past; well-defined area of redness, mid-posterior dorsal tongue; asymptomatic

A

central papillary atrophy

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6
Q

least common from of candidiasis; anterior buccal mucosa; resemble leukoplakia; complete resolution of the lesion after antifungal therapy

A

chronic hyperplastic candidiasis

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7
Q

red, fissured lesions of corners of mouth; loss of vertical dimension as one of predisposing factors; usually related to candidiasis but other bacterial microflora may be admixed

A

angular cheilitis

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8
Q

a benign reactive lesion rather than neoplastic origin; focal fibrous hyperplasia; occurs anywhere that persistant chronic tissue irritation occurs

A

irritation fibroma

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9
Q

a common, fast growing, reactive lesion; surface ulcerated; bleeds easily; 75% of cases in gingiva

A

oral pyogenic granuloma

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10
Q

a white patch or plaque that cannot be scrapped off and cannot be characterized clinically or pathologically as any other disease; premalignant lesion (most common of oral cavity)

A

leukoplakia

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11
Q

a white lesion induced by chronic mechanical irritation; essentially a “callous”

A

frictional keratosis

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12
Q

a frictional keratosis induced by chewing habit

A

morsicatio buccarum

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13
Q

keratotic change of the palatal mucosa in heavy smokers

A

nicotine stomatitis

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14
Q

necrotic epithelium can be peeled away in contrast to frictional keratosis

A

chemical burn

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15
Q

a chronic inflammatory mucocutaneous disease; white, keratotic lesions; “Wickham” striae;

A

Lichen Planus

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16
Q

can affect any site, but worrisome sites are tongue, floor of the mouth, and soft palate; homogenous white or speckled appearance

A

oral leukoplakia

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17
Q

important predisposing factors to leukoplakia

A

tobacco; alcohol; immunosuppression; HPV

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18
Q

red patch that cannot be clinically or pathologically diagnosed as any other condition; greater presence of dysplasia than leukoplakia

A

erythroplakia

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19
Q

well-demarcated velvety, red plaque; floor of mouth, tongue, and soft palate as most common sites; 90% will show dysplasia; epithelial atrophy with lack of keratin production

A

erythroplakia

20
Q

6th most common cancer worldwide; more than 95% of all oral malignancies

A

oral squamous cell carcinoma

21
Q

leukoplakic, erythroplakic, ulcerated, exophytic, endophytic

A

OSCC

22
Q

a low grade malignant epithelial tumor; characterized by a thick, wart-like surface texture; most common in smokeless tobacco users

A

verrucous carcinoma

23
Q

papillary surface architecture; parakeratin clefting; broad, pushing rete ridges; minimal atypia

A

verrucous carcinoma

24
Q

a pathologic cavity lined by epithelium

A

cyst

25
Q

cyst with no epithelial lining

A

pseudocyst

26
Q

a cyst located above the thyroid gland and beneath the base of the tongue derived from remnants of the embryonic thyroglossal tract; most common developmental cyst in the neck; in midline of neck

A

thyroglossal duct cyst

27
Q

on the lateral aspect of neck; developmental cyst; derived from epithelium entrapped within lymphoid tissue of the neck during embryologic development of the 2nd branchial cleft

A

cervical lymphoepithelial cyst (branchial cyst)

28
Q

a tumor with paraganglia cell differentiation; cluster of neuroendocrine cells associated with SNS and PNS; most common location is adrenal medulla; greater in people living at high altitudes

A

paraganglioma (carotid body tumor)

29
Q

nests (zellballen) of round to oval chief cells surrounded by delicate vascular septae

A

paraganglioma

30
Q

a subjective sensation of a dry mouth

A

xerostomia

31
Q

inflammation of the salivary glands

A

sialadenitis

32
Q

most common viral sialadentitis

A

mumps

33
Q

most common bacterial cause of sialadentitis

A

S. aureus

34
Q

mucus spillage into the soft tissues due to rupture of a minor salivary gland duct; caused by local trauma; fluid filled lesion that is often blue or translucent; lower lip is the most common location

A

mucous extravasation phenomenon (mucocele)

35
Q

a mucocele in the floor of the mouth

A

ranula

36
Q

calcified structure, develop within the salivary ductal system; most common location is submandibular gland

A

sialothiasis (salivary stones)

37
Q

most common site of salivary gland tumors

A

parotid gland

38
Q

most common sites for minor salivary gland tumors in order

A

palate
upper lip
buccal mucosa

39
Q

benign salivary gland tumors

A

pleomorphic adenoma and warthin tumor (papillary cystadenoma lymphamatosum)

40
Q

most common salivary neoplasm; painless, slow growing firm mass

A

pleomorphic adenoma

41
Q

mixture of ductal and myoepithelial elements; well circumscribed, encapsulated; ducts and cystic structures; myxoid, hyalinized, focal areas of fat, chondroid, and osteoid

A

pleomorphic adenoma

42
Q

2nd most common benign parotid tumor; almost exclusively in parotid; strong association with smoking

A

warthin tumor

43
Q

malignant salivary gland tumors may be associated with …, … or …

A

paresthesia, tumor fixation or ulceration

44
Q

most common malignant salivary neoplasm in adults and children; parotid, most common site; symptomatic swelling; mixture of mucus-producing, epidermoid, and intermediate cells; cyst formation

A

mucoepidermoid carcinoma

45
Q

50% in minor salivary glands; pain as a common and important factor; bone destruction may be evident

A

adenoid cystic carcinoma

46
Q

3 major patterns of adenoid cystic carcinoma

A

cribriform, tubular and solid

Dental Pathology (22 decks)

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