Oral Path Exam 3 - Soft Tissue Masses Flashcards
What is the tissue of origin?
Arises from epithelium (surface)
Epithelial
What is the tissue of origin?
White, red, or mixed
Epithelial
What is the tissue of origin?
Smooth, rough, or papillary
Epithelial
What is the tissue of origin?
Arises from CT (deeper)
Mesenchymal
What is the tissue of origin?
Mass under normal-appearing epithelium
Mesenchymal
What is the tissue of origin?
Often smooth looking
Mesenchymal
What lesion?
Caused by reactive hyperplasia of fibrous tissue in response to trauma
Fibroma
What lesions?
Broad demographic range
Fibroma
Peripheral giant cell granuloma
Palatal abscess
Parulis
What lesion?
Most common “tumor” of the oral cavity
Fibroma
What lesion?
Smooth-surfaced pink nodule similar in color to surrounding mucosa
Fibroma
What lesion?
Sessile or pedunculated
Fibroma
What lesion?
Common on buccal mucosa, labial mucosa, tongue, and gingiva
Fibroma
What lesions?
Diagnosed by biopsy
Fibroma
Peripheral ossifying fibroma
Pyogenic granuloma
Peripheral giant cell granuloma
Inflammatory fibrous hyperplasia
Mucocele
What lesions?
Tx = excisional biopsy
Fibroma
Peripheral ossifying fibroma
Pyogenic granuloma
Peripheral giant cell granuloma
Inflammatory fibrous hyperplasia
What lesion?
Cause is uncertain, but understood to be a reactive process
Peripheral ossifying fibroma
What lesion?
Found more commonly in teenagers and young adults
Peripheral ossifying fibroma
What lesions?
Female predilection
Peripheral ossifying fibroma
Pyogenic granuloma
What lesion?
Nodular, red/pink mass
Peripheral ossifying fibroma
What lesions?
May have ulcerated surface (yellow)
Peripheral ossifying fibroma
Pyogenic granuloma
What lesion?
Occurs ONLY on gingiva
Peripheral ossifying fibroma
What lesions?
Tx = remove any local irritants like plaque and calculus
Peripheral ossifying fibroma
Pyogenic granuloma
Peripheral giant cell granuloma
What lesion?
Should see bone after excising the entire lesion
Peripheral ossifying fibroma
What lesions?
Can recur
Peripheral ossifying fibroma
Pyogenic granuloma
Peripheral giant cell granuloma
Mucocele
What lesion?
Will feel hard, will sometimes feel a little crunch when biopsying
Peripheral ossifying fibroma
What lesion?
Exuberant tissue response to local irritation, poor hygiene, or hormonal factors
Pyogenic granuloma
What lesion?
Most common in children and young adults
Pyogenic granuloma
Mucocele
What lesion?
Often develops in pregnant women
Pyogenic granuloma
What lesion?
Smooth or lobulated pink/red/purple mass
Pyogenic granuloma
What lesion?
Can show rapid growth
Pyogenic granuloma
What lesion?
Most common site is gingiva, but can also occur on lips, tongue, and buccal mucosa
Pyogenic granuloma
What lesion?
Reactive lesion caused by local irritation/trauma
Peripheral giant cell granuloma
What lesion?
Red/blue nodular mass
Peripheral giant cell granuloma
What lesion?
Occurs ONLY on gingiva and edentulous alveolar ridge
Peripheral giant cell granuloma
What lesion?
May produce “cupping” resorption of alveolar bone
Peripheral giant cell granuloma
The vast majority of “bumps on the gums” will be one of which 4 diagnoses?
“Plain” fibroma
Peripheral ossifying fibroma
Pyogenic granuloma
Peripheral giant cell granuloma
(the 4 P’s)
What lesion?
Tumor-like hyperplasia of inflamed fibrous CT
Inflammatory fibrous hyperplasia
What lesion?
Often secondary to ill-fitting dentures
Inflammatory fibrous hyperplasia
What lesion?
Most commonly affects middle-aged and older adults
Inflammatory fibrous hyperplasia
What lesion?
Firm folds of hyperplastic tissue
Inflammatory fibrous hyperplasia
What lesion?
Can be pedunculated (leaf-like) or nodular
Inflammatory fibrous hyperplasia
What lesion?
Most often found in alveolar vestibule
Inflammatory fibrous hyperplasia
What lesion?
Remove source of irritation
Inflammatory fibrous hyperplasia
What lesion?
Rupture of salivary gland duct and spillage of mucin
Mucocele
What lesion?
Dome-shaped swelling
Mucocele
What lesion?
Often bluish hue
Mucocele
What lesion?
Fluctuant to firm texture
Mucocele
What lesion?
Can rupture, release fluid, and recur
Mucocele
What lesion?
Most commonly found on lower labial mucosa
Mucocele
What lesion?
Salivary gland neoplasms can mimic this lesion, so it is important to biopsy
Mucocele
What lesion?
May heal spontaneously
Mucocele
What lesion?
Tx = excisional biopsy and removal of feeding salivary glands
Mucocele
What lesion?
Mucocele occurring on the floor of the mouth
Ranula
What lesion?
Deposition of calcium salts around nidus of debris in salivary duct
Sialolith
What lesion?
Most common in young and middle-aged adults
Sialolith
What lesion?
Hard submucosal mass
Sialolith
What lesion?
Radiopaque mass on X-Ray
Sialolith
What lesion?
Can cause episodic pain
Sialolith
What lesion?
Often in submandibular duct system, upper lip, or buccal mucosa
Sialolith
What lesion?
Diagnosed by clinical and radiographic presentation
Sialolith
What lesion?
Tx = massage out of duct, stimulate salivary flow, apply moist heat, and surgical intervention
Sialolith
What lesion?
Reaction to infection (viral, bacterial, fungal)
Reactive lymphadenopathy
What lesion?
Common in all age groups
Reactive lymphadenopathy
What lesion?
Enlarged, tender lymph nodes that are mobile upon palpation
Reactive lymphadenopathy
What lesion?
Accompanying symptoms of infection (fever, sore throat, fatigue)
Reactive lymphadenopathy
What lesion?
Diagnosed by clinical presentation, lab tests, and biopsy if persistent
Reactive lymphadenopathy
What lesion?
Tx = often self-limiting, resolves w/ tx of underlying conditions
Reactive lymphadenopathy
Function = recognize and process foreign antigens (viral, bacterial, fungal)
Lymphoid tissues
Lymphoid tissues respond to ___________ challenges
antigenic
Lymphoid cells proliferate, causing what?
Lymphoid hyperplasia
What are the head and neck locations of lymphoid tissues?
- Cervical lymph nodes
- Lymphoid tissue of Waldeyer’s Ring (tonsils)
- Scattered lymphoid aggregates (oropharynx, soft palate, lateral tongue, floor of mouth)
What lesion?
Caused by direct spread from a primary cancer (metastasis) or lymphoproliferative disorders (lymphoma, leukemia)
Lymphadenopathy secondary to malignancy
What lesion?
More common in middle-aged and elderly
Lymphadenopathy secondary to malignancy
What lesion?
Firm, non-tender lymph nodes
Lymphadenopathy secondary to malignancy
What lesion?
May feel fixed or matted to underlying tissue
Lymphadenopathy secondary to malignancy
What lesion?
Typically unilateral
Lymphadenopathy secondary to malignancy
What lesion?
May have “B” symptoms (night sweats, fever, weight loss)
Lymphadenopathy secondary to malignancy
What lesion?
Diagnosed by imaging, lab tests, and biopsy
Lymphadenopathy secondary to malignancy
What lesion?
Tx = treat underlying malignancy
Lymphadenopathy secondary to malignancy
What lesions?
Caused by caries, perio disease, trauma
Palatal abscess
Parulis
What lesion?
Soft tissue swelling on hard palate
Palatal abscess
What lesion?
Caused by accumulation of acute inflammatory cells
Palatal abscess
What lesions?
Associated w/ a non-vital tooth
Palatal abscess
Parulis
What lesion?
Often painful
Palatal abscess
What lesions?
Diagnosed by vitality test and X-Ray (periapical radiolucency)
Palatal abscess
Parulis
What lesions?
Tx = treat source of infection with RCT or extraction; if extraction, submit soft tissue removed for histologic examination
Palatal abscess
Parulis
What lesions?
Monitor for improvement
Palatal abscess
Parulis
A soft tissue mass on the lip with a “bluish”
appearance is most likely a…?
What lesion?
Caused by inflammatory cells that perforate through epithelium and drain through intraoral sinus
Parulis
What lesion?
Yellow-red nodule on gingiva or in vestibule
Parulis
What lesion?
Usually asymptomatic
Parulis
Which of the following is ONLY found on the gingiva?
Peripheral ossifying fibroma
Pyogenic granuloma
Fibroma
Mucocele
Peripheral ossifying fibroma
A soft tissue mass on the lip with a “bluish”
appearance is most likely a…?
Mucocele
What category?
Fibroma
Injury
What category?
Peripheral ossifying fibroma
Injury
What category?
Pyogenic granuloma
Injury
What category?
Peripheral giant cell granuloma
Injury
What category?
Inflammatory fibrous hyperplasia
Injury
What category?
Mucocele
Injury
What category?
Sialolith
Injury
What category?
Lymphadenopathy
Infectious
Neoplastic
What category?
Palatal abscess
Infectious
What category?
Parulis
Infectious
What category?
Lymphoid aggregate
Developmental