Lymph Clinical Correlation

Question 1

Acute

Chronic

Cancerous lymph nodes

Answer 1

Acute- soft and tender

Chronic- firm and nontender

Cancerous- hard and nontender

Question 2

Reactive lymphadenopathy vs neoplasia

Answer 2

Reactive= acute and chronic infections

Neoplasia= cancerous
Which could be lymphoma (hodgekins or non)
Matestatic carcinoma

Question 3

Drainage of infections :
Mand centrals
Max wisdoms
All other teeth

Answer 3

Mand centrals= submental

Max wisdoms= superior deep cervical nodes

Others= submandibular > superior deep > inferior deep > bloodstream

Question 4

Mononucleosis

Answer 4

Acute infection related to cervical node enlargement

Question 5

Oral cancer or metastatic carcinoma

Answer 5

Enlarged MALT in oral cavity
Usually on posterior sides of tongue (half the time)
Or floor of mouth

Question 6

Where is the first place oral cancer spreads

Answer 6

Cervical lymph nodes

Question 7

TNM descriptors of tumor

Answer 7

T= tumor size (1-4)
N= node spread (0-3)
M= metastasis- spreading (0-1)

Question 8

Oral cancer stages

Answer 8

1= T1
2=T2
3= T3 or N1
4= any combo with T4, N2, or M1 or more