Oral Path Exam 2 - Soft Tissue Description Flashcards
What is the mnemonic for describing soft tissue lesions? (New cardinal bird sees the easy lesion)
Number
Color
Borders
Size
Texture
Elevation/depression
Location
What color of soft tissue?
Normal tissue w/o change in color
Pink
What color of soft tissue?
Due to increase in blood or blood vessels closer to the surface blood vessels or inflammation
Red
What color of soft tissue?
Keratin, thicker epithelium
White
What color of soft tissue?
Mucin deep in tissue
Venous blood
Foreign body
Melanin
Blue
What color of soft tissue?
Blood extravasation (hemosiderin pigment)
Purple
What color of soft tissue?
Ulcers
Fat
Lipid-containing cells
Yellow
What color of soft tissue?
Melanin
Brown
What color of soft tissue?
Foreign body
Melanin
Necrotic tissue
Black
What color of soft tissue?
Fluid-filled
Clear
T/F: More than 1 color can be present
True!
The distinction between normal and abnormal tissue
Borders
Well-defined or sharply demarcated vs. poorly defined or poorly demarcated, blending or diffuse
Border of normal and abnormal tissue
Smooth vs irregular/jagged
Contour between normal and abnormal tissue
Striated, scalloped, semilunar/C-shaped, serpentine
Pattern or shape to the border
What type of border would you expect?
Developmental disorders
Well-defined, smooth border
What type of border would you expect?
Benign neoplasms
Well-defined, smooth border
What type of border would you expect?
All other disease categories
Poorly defined, blending, irregular or diffuse borders
If there is more than one lesion, each lesion may be well-defined, but as a group they could be a ____________ border
diffuse
Measure in ______ or ______ at each visit, so you know if the lesion changes over time
mm; cm
Which diseases may get bigger, then smaller? (come and go)
Metabolic
Immune-mediated
Which diseases show continual growth, but at a variable rate?
Neoplasms
Which diseases grow bigger quickly w/o tx?
Infections
Which diseases show up and often stay the same size over time?
Developmental
(except cysts -> can keep getting bigger)
Exophytic projections on the surface
Papillary
Irregular bumpy surface
Granular/pebbly
What are the following used to describe?
Bony firm
Firm (but compressible)
Rubbery
Soft
Palpation quality
What are the following used to describe?
Smooth vs rough
Textured
Furrowed
Grooved
Striated
Thin vs thick
Homogeneous vs non-homogeneous
Papillary
Granular/pebbly
Surface changes
What are the following used to describe?
Finger-like (“warty”)
Rounded/blunted
Papillary
What are the following used to describe?
Macule
Patch
Flat lesions
Any change in shape or color that is ≤ 1.0 cm
Macule
Any change in shape or color that is > 1.0 cm
Patch
What are the following used to describe?
Plaque
Papule
Nodule
Tumor/mass
Vesicle
Bulla
Pustule
Sessile
Pedunculated
Raised lesions
Slightly elevated lesion w/ large area
Plaque
Solid raised lesion ≤ 0.5 cm
Papule
Solid raised lesion > 0.5 cm (sessile vs pedunculated)
Nodule
Non-specific for any large, solid raised lesion
Tumor/mass
Fluid-filled raised lesion ≤ 0.5 cm
Vesicle
Fluid-filled raised lesion > 0.5 cm
Bulla
Pus-filled raised lesion of any size (yellow fluid)
Pustule
Base is broader than surface
Sessile
Mushroom-shaped
Pedunculated
Linear cleavage of mucosa
Fissure
Thinning of mucosa (red)
Atrophy
Depressed lesion, incomplete loss of mucosa (red)
Erosion
Complete loss of mucosa (dark yellowish)
Ulcer
Result of injury causing mucosal atrophy or hypertrophy w/ increased underlying collagen
Scar
