oral path Flashcards
Ludwig’s angina is infection of __________ space
submandibular
swollen hyperplastic fungiform papillae
+ strawberry tongue
scarlet fever
valveless facial veins
cavernous sinus thrombosis
external ear changes
Treacher Collins
ectopic sebaceous glands that are yellow papules/plaques
fordyce granules
results from local trauma or infection with developing tooth bud
Turner tooth
which type of aphthous ulcer is NOT preceded by a vesicle?
recurrent type
tx: corticosteroid
characterized by subepithelial separation at basement membrane zone ** subepithelial split
Benign mucous membrane Pemphigoid
autoimmune - antibody rxn at epi-CT interface
white “wipeable” patch with red underlying base
pseudomembranous candidiasis
atrophy of filiform papillae, red, midline of tongue at jxn of posterior third and anterior 2/3
median rhomboid glossitis
tx: antifungal nystatin or clotrimazole
wandering transected nerve with scar tissue
traumatic neuroma
painful
local reactive growth, usually on gingiva (interdental papillae), exophytic, bleeds easily, non painful, proliferative, grows fast
pyogenic granuloma
liver colored, MULTINUCLEATED GIANT CELLS, limited to alveolar ridge/gingiva, anterior to 1M
Peripheral giant cell granuloma
intrabony, MULTINUCLEATED GIANT CELLS, anterior to 1M, bone destruction 2* to chronic renal disease
central giant cell granuloma
epithelium, white or pink-white, rough cauliflower surface, elevated lesion , more frequent than some “oma”s ,
squamous papilloma
most common connective tissue tumor
fibroma
reactive, not a true tumor, hyperplasia (not neoplasia), firm smooth pink, common on tongue
fibroma
nodule with smooth papillate surface, granular cells in cytoplasm, often histo has PSEUDOEPITHELIOMATOUS HYPERPLASIA (resembles SCC)
granular cell tumor
1 site of granular cell tumor
dorsum of tongue
white patch that doesn’t wipe off, cytology doesn’t help, must biopsy, if 2+ areas then incisional biopsy
leukoplakia
red plaque that doesn’t wipe off, highly likely to undergo malignant transformation and severe dysplasia
erythroplakia
tx: incisional biopsy
intraoral site with highest risk of SCC
floor of mouth
most common intraoral site of SCC
mid lateral border of tongue
least likely site of SCC
hard palate
most common SCC in general
lower lip
can be preceded by actinic cheilitis
most common node with metastasis in SCC
submental node
SCC on radiograph shows as
poorly defined radiolucencies without reactive sclerotic border
common in posterior mandible, poorly defined radiolucency without sclerotic border, does NOT cause shift in occlusion
metastatic disease of jaw
benign neoplasm of salivary gland that is most common on UPPER lip, women, asymptomatic, can be multinodular
monomorphic or canalicular adenoma
stretches and disappears when you pull, intracellular edema of cells, often BILATERAL on buccal mucosa, no treatment necessary
leukoedema
seen with smokeless tobacco habit**, not likely to metastasize, buccal vestibule common (different from SCC), large elevated papillary lesion
verrucous carcinoma