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Oral Pathology 1/2/16 > Lec 6: Reactive Epithelial Cysts > Flashcards

Lec 6: Reactive Epithelial Cysts Flashcards

1
Q

Fissured tongue: cause and clinical findings?

A 
Cause:
Hereditary is strong contributor
Incidence increases with age
Clinical Findings:
Sometimes associated with geographic tongue
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2
Q

Fissured tongue–Significance and Management?

A

Variation of normal
Usually asymptomatic and no treatment needed
Encourage patient to brush tongue to remove debris

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3
Q

AKNYLOGLOSSIA is characterized by?

A

short lingual frenum

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4
Q

LINGUAL THYROID–cause?

A

Failure of thyroid gland to descend properly

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5
Q

GINGIVAL FIBROMATOSIS is?

A

Slowly progressive gingival enlargement

Caused by collagenous overgrowth of gingival tissue

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6
Q

Gingival Fibromatosis treatment?

A

Treatment: gingivectomy and rigorous oral hygiene

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7
Q

2 categories of soft tissue enlargements

A

Reactive

Tumors

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8
Q

“Tumor” means enlargement and is based on clinical features of being ____ and ____ and not on microscopic criteria

A

persistent and progressive

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9
Q

Reactive lesions examples (2)

A

Necrotizing silometaplasia (covered in SG lecture)

Mucocele (covered in SG lecture)

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10
Q

PARULIS/SINUS TRACK aka

A

“gum boil”, periodontal abscess

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11
Q

PARULIS/SINUS TRACK is a?

A

A gingival abscess secondary to periapical pathosis

Focus of pus in the gingiva

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12
Q

PARULIS/SINUS TRACK treatment?

A

Treating the underlying condition (periodontal pocket or nonvital tooth) achieves resolution of gingival abscess

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13
Q

IRRITATION FIBROMA(FIBROUS HYPERPLASIA)–caused by?

A

chronic irritation or trauma

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14
Q

IRRITATION FIBROMA(FIBROUS HYPERPLASIA)–clinical features?

A

Well-circumscribed, slowly growing
Smooth-surfaced, sessile, pink nodule
Typically firm
May be ulcerated or inflamed

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15
Q

IRRITATION FIBROMA(FIBROUS HYPERPLASIA)–treatment?

A

surgical excision

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16
Q

Denture-Leaf Fibroma:

A

Occurs on hard palate under a denture

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17
Q

INFLAMMATORY PAPILLARY HYPERPLASIA represents both?

A

Represents both fibrous and epithelial hyperplasia

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18
Q

INFLAMMATORY PAPILLARY HYPERPLASIA cause reactive process to?

A

Poorly fitting Dentures

Wearing dentures 24h/day

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19
Q

INFLAMMATORY PAPILLARY HYPERPLASIA clinical features?

A

Numerous red, edematous papillary projections

Associated with denture

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20
Q

INFLAMMATORY PAPILLARY HYPERPLASIA–therapeutic management?

A

Discontinue wearing denture 24h/day
Antifungal medication if candidosis is present
Excise large lesions
Construct new denture or reline/rebase existing denture

21
Q

DRUG-RELATED GINGIVAL HYPERPLASIA–what drugs for this affect collagen remodeling and degradation?

A

Anticonvulsants: Phenytoin (dilantin); young
Calcium channel blockers: Nifedipine; middle-aged
Cyclosporine: broad age range

22
Q

Soft Tissue EnlargementsBenign Tumors–usually grows slow or fast?

A

Usually slowly growing (months to years)

23
Q

Soft Tissue EnlargementsMalignant Tumors–usually grows slow or fast?

A

Rapidly growing (weeks to months)

24
Q

Categories of Benign Tumors

A

Epithelial
Mesenchymal
Salivary gland
Soft tissue cysts

25
Q

Soft tissue cysts:

A

historical and clinical features are similar to those of benign tumors. Cysts are typically compressible

26
Q

Papilloma

A

Pedunculated

Multiple finger-like projections with a pedunculated base

27
Q

VERRUCA VULGARIS clinical features?

A

Similar to papilloma but verruca has a sessile base

More common on skin

28
Q

CONDYLOMA ACUMINATUM–clinical features?

A

Usually multiple lesions
Most common in anogenital area
Typically sexually transmitted

29
Q

CONDYLOMA ACUMINATUM–high risk HPV strands?

A

HPV 16,18, 31

30
Q

Seborrheic keratosis is benign proliferation of

A

epidermal basal cells

31
Q

Does seborrheic keratosis occur in the mouth?

A

NO

32
Q

The ______ of soft tissue cysts can be a clue to diagnosis then determine what the lesion is reacting to:

A

location

33
Q

A cyst consists of what 3 layers?

A
  1. Connective tissue wall
  2. Epithelial layer (lining)
  3. Lumen–often are fluid-filled, but not always
34
Q

Cyst clinically, they are often ______

A

compressible

35
Q

A SPACE-OCCUPYING LESION WITH an outer wall of fibrous connective tissue that surrounds a central cavity called the?

A

cyst

36
Q

Epidermoid Cyst is a?

A

Keratin-filled cyst derived from hair follicle

37
Q

Epidermoid (dermoid) cyst is most commonly found in the?

A

floor of the mouth (intraorally)

38
Q

Gingival Cyst of the Adult occurs on?

A

attached gingiva anterior to first molars

39
Q

Lymphoepithelial Cyst are what color?

A

yellow or white in color

40
Q

Lymphoepithelial Cyst are almost always located:

A

Lateral and ventral tongue

Floor of the mouth

41
Q

Thyroglossal Tract Cyst 60-80% of cases are?

A

below hyoid bone

42
Q

Thyroglossal tract cyst occurs in?

A

the midline of the neck

43
Q

Thyroglossal tract cyst characterized by?

A

Painless, fluctuant, movable swelling

44
Q

All cysts are treated by?

A

excision

45
Q

Reactive vs. Tumor

A

Reactive if take away the cause will regress but tumor will progress and persist unless removed.

46
Q

Benign warty tumors of the Squamous Epithelium

A

Papilloma
Verruca vulgaris
Condyloma

47
Q

HPV’s that has higher risk for cancer and associated with Condyloma?

A

16, 18, 31

48
Q

What grows slowly and mimic benign tumors?

A

Soft tissue cysts

49
Q

What cyst is at the floor of the mouth?

A

Epidermoid cyst

Oral Pathology 1/2/16 (11 decks)

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