Oral Path Exam 3 - Soft Tissue Masses Flashcards

1
Q

What is the tissue of origin?

Arises from epithelium (surface)

A

Epithelial

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2
Q

What is the tissue of origin?

White, red, or mixed

A

Epithelial

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3
Q

What is the tissue of origin?

Smooth, rough, or papillary

A

Epithelial

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4
Q

What is the tissue of origin?

Arises from CT (deeper)

A

Mesenchymal

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5
Q

What is the tissue of origin?

Mass under normal-appearing epithelium

A

Mesenchymal

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6
Q

What is the tissue of origin?

Often smooth looking

A

Mesenchymal

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7
Q

What lesion?

Caused by reactive hyperplasia of fibrous tissue in response to trauma

A

Fibroma

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8
Q

What lesions?

Broad demographic range

A

Fibroma
Peripheral giant cell granuloma
Palatal abscess
Parulis

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9
Q

What lesion?

Most common “tumor” of the oral cavity

A

Fibroma

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10
Q

What lesion?

Smooth-surfaced pink nodule similar in color to surrounding mucosa

A

Fibroma

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11
Q

What lesion?

Sessile or pedunculated

A

Fibroma

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12
Q

What lesion?

Common on buccal mucosa, labial mucosa, tongue, and gingiva

A

Fibroma

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13
Q

What lesions?

Diagnosed by biopsy

A

Fibroma
Peripheral ossifying fibroma
Pyogenic granuloma
Peripheral giant cell granuloma
Inflammatory fibrous hyperplasia
Mucocele

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14
Q

What lesions?

Tx = excisional biopsy

A

Fibroma
Peripheral ossifying fibroma
Pyogenic granuloma
Peripheral giant cell granuloma
Inflammatory fibrous hyperplasia

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15
Q

What lesion?

Cause is uncertain, but understood to be a reactive process

A

Peripheral ossifying fibroma

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16
Q

What lesion?

Found more commonly in teenagers and young adults

A

Peripheral ossifying fibroma

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17
Q

What lesions?

Female predilection

A

Peripheral ossifying fibroma
Pyogenic granuloma

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18
Q

What lesion?

Nodular, red/pink mass

A

Peripheral ossifying fibroma

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19
Q

What lesions?

May have ulcerated surface (yellow)

A

Peripheral ossifying fibroma
Pyogenic granuloma

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20
Q

What lesion?

Occurs ONLY on gingiva

A

Peripheral ossifying fibroma

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21
Q

What lesions?

Tx = remove any local irritants like plaque and calculus

A

Peripheral ossifying fibroma
Pyogenic granuloma
Peripheral giant cell granuloma

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22
Q

What lesion?

Should see bone after excising the entire lesion

A

Peripheral ossifying fibroma

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23
Q

What lesions?

Can recur

A

Peripheral ossifying fibroma
Pyogenic granuloma
Peripheral giant cell granuloma
Mucocele

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24
Q

What lesion?

Will feel hard, will sometimes feel a little crunch when biopsying

A

Peripheral ossifying fibroma

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25
Q

What lesion?

Exuberant tissue response to local irritation, poor hygiene, or hormonal factors

A

Pyogenic granuloma

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26
Q

What lesion?

Most common in children and young adults

A

Pyogenic granuloma
Mucocele

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27
Q

What lesion?

Often develops in pregnant women

A

Pyogenic granuloma

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28
Q

What lesion?

Smooth or lobulated pink/red/purple mass

A

Pyogenic granuloma

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29
Q

What lesion?

Can show rapid growth

A

Pyogenic granuloma

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30
Q

What lesion?

Most common site is gingiva, but can also occur on lips, tongue, and buccal mucosa

A

Pyogenic granuloma

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31
Q

What lesion?

Reactive lesion caused by local irritation/trauma

A

Peripheral giant cell granuloma

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32
Q

What lesion?

Red/blue nodular mass

A

Peripheral giant cell granuloma

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33
Q

What lesion?

Occurs ONLY on gingiva and edentulous alveolar ridge

A

Peripheral giant cell granuloma

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34
Q

What lesion?

May produce “cupping” resorption of alveolar bone

A

Peripheral giant cell granuloma

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35
Q

The vast majority of “bumps on the gums” will be one of which 4 diagnoses?

A

“Plain” fibroma
Peripheral ossifying fibroma
Pyogenic granuloma
Peripheral giant cell granuloma

(the 4 P’s)

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36
Q

What lesion?

Tumor-like hyperplasia of inflamed fibrous CT

A

Inflammatory fibrous hyperplasia

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37
Q

What lesion?

Often secondary to ill-fitting dentures

A

Inflammatory fibrous hyperplasia

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38
Q

What lesion?

Most commonly affects middle-aged and older adults

A

Inflammatory fibrous hyperplasia

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39
Q

What lesion?

Firm folds of hyperplastic tissue

A

Inflammatory fibrous hyperplasia

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40
Q

What lesion?

Can be pedunculated (leaf-like) or nodular

A

Inflammatory fibrous hyperplasia

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41
Q

What lesion?

Most often found in alveolar vestibule

A

Inflammatory fibrous hyperplasia

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42
Q

What lesion?

Remove source of irritation

A

Inflammatory fibrous hyperplasia

43
Q

What lesion?

Rupture of salivary gland duct and spillage of mucin

44
Q

What lesion?

Dome-shaped swelling

45
Q

What lesion?

Often bluish hue

46
Q

What lesion?

Fluctuant to firm texture

47
Q

What lesion?

Can rupture, release fluid, and recur

48
Q

What lesion?

Most commonly found on lower labial mucosa

49
Q

What lesion?

Salivary gland neoplasms can mimic this lesion, so it is important to biopsy

50
Q

What lesion?

May heal spontaneously

51
Q

What lesion?

Tx = excisional biopsy and removal of feeding salivary glands

52
Q

What lesion?

Mucocele occurring on the floor of the mouth

53
Q

What lesion?

Deposition of calcium salts around nidus of debris in salivary duct

54
Q

What lesion?

Most common in young and middle-aged adults

55
Q

What lesion?

Hard submucosal mass

56
Q

What lesion?

Radiopaque mass on X-Ray

57
Q

What lesion?

Can cause episodic pain

58
Q

What lesion?

Often in submandibular duct system, upper lip, or buccal mucosa

59
Q

What lesion?

Diagnosed by clinical and radiographic presentation

60
Q

What lesion?

Tx = massage out of duct, stimulate salivary flow, apply moist heat, and surgical intervention

61
Q

What lesion?

Reaction to infection (viral, bacterial, fungal)

A

Reactive lymphadenopathy

62
Q

What lesion?

Common in all age groups

A

Reactive lymphadenopathy

63
Q

What lesion?

Enlarged, tender lymph nodes that are mobile upon palpation

A

Reactive lymphadenopathy

64
Q

What lesion?

Accompanying symptoms of infection (fever, sore throat, fatigue)

A

Reactive lymphadenopathy

65
Q

What lesion?

Diagnosed by clinical presentation, lab tests, and biopsy if persistent

A

Reactive lymphadenopathy

66
Q

What lesion?

Tx = often self-limiting, resolves w/ tx of underlying conditions

A

Reactive lymphadenopathy

67
Q

Function = recognize and process foreign antigens (viral, bacterial, fungal)

A

Lymphoid tissues

68
Q

Lymphoid tissues respond to ___________ challenges

69
Q

Lymphoid cells proliferate, causing what?

A

Lymphoid hyperplasia

70
Q

What are the head and neck locations of lymphoid tissues?

A
  1. Cervical lymph nodes
  2. Lymphoid tissue of Waldeyer’s Ring (tonsils)
  3. Scattered lymphoid aggregates (oropharynx, soft palate, lateral tongue, floor of mouth)
71
Q

What lesion?

Caused by direct spread from a primary cancer (metastasis) or lymphoproliferative disorders (lymphoma, leukemia)

A

Lymphadenopathy secondary to malignancy

72
Q

What lesion?

More common in middle-aged and elderly

A

Lymphadenopathy secondary to malignancy

73
Q

What lesion?

Firm, non-tender lymph nodes

A

Lymphadenopathy secondary to malignancy

74
Q

What lesion?

May feel fixed or matted to underlying tissue

A

Lymphadenopathy secondary to malignancy

75
Q

What lesion?

Typically unilateral

A

Lymphadenopathy secondary to malignancy

76
Q

What lesion?

May have “B” symptoms (night sweats, fever, weight loss)

A

Lymphadenopathy secondary to malignancy

77
Q

What lesion?

Diagnosed by imaging, lab tests, and biopsy

A

Lymphadenopathy secondary to malignancy

78
Q

What lesion?

Tx = treat underlying malignancy

A

Lymphadenopathy secondary to malignancy

79
Q

What lesions?

Caused by caries, perio disease, trauma

A

Palatal abscess
Parulis

80
Q

What lesion?

Soft tissue swelling on hard palate

A

Palatal abscess

80
Q

What lesion?

Caused by accumulation of acute inflammatory cells

A

Palatal abscess

81
Q

What lesions?

Associated w/ a non-vital tooth

A

Palatal abscess
Parulis

82
Q

What lesion?

Often painful

A

Palatal abscess

83
Q

What lesions?

Diagnosed by vitality test and X-Ray (periapical radiolucency)

A

Palatal abscess
Parulis

84
Q

What lesions?

Tx = treat source of infection with RCT or extraction; if extraction, submit soft tissue removed for histologic examination

A

Palatal abscess
Parulis

85
Q

What lesions?

Monitor for improvement

A

Palatal abscess
Parulis

86
Q

A soft tissue mass on the lip with a “bluish”
appearance is most likely a…?

87
Q

What lesion?

Caused by inflammatory cells that perforate through epithelium and drain through intraoral sinus

88
Q

What lesion?

Yellow-red nodule on gingiva or in vestibule

89
Q

What lesion?

Usually asymptomatic

90
Q

Which of the following is ONLY found on the gingiva?

Peripheral ossifying fibroma
Pyogenic granuloma
Fibroma
Mucocele

A

Peripheral ossifying fibroma

91
Q

A soft tissue mass on the lip with a “bluish”
appearance is most likely a…?

92
Q

What category?

Fibroma

93
Q

What category?

Peripheral ossifying fibroma

94
Q

What category?

Pyogenic granuloma

95
Q

What category?

Peripheral giant cell granuloma

96
Q

What category?

Inflammatory fibrous hyperplasia

97
Q

What category?

Mucocele

98
Q

What category?

Sialolith

99
Q

What category?

Lymphadenopathy

A

Infectious
Neoplastic

100
Q

What category?

Palatal abscess

A

Infectious

101
Q

What category?

Parulis

A

Infectious

102
Q

What category?

Lymphoid aggregate

A

Developmental