ORAL PATH REVIEW POWERPOINT 4 Flashcards
Cemento-osseus dysplasias are typically found in what age range and gender?
middle-aged females
What are the three types of Cemento-Osseus Dysplasias?
- Periapical COD 2. Focal COD3. Florid COD
Name that lesion: middle aged, AA female. Mand anterior teeth. No tx necessary, RL, RO and Mixed
Periapical Cemento-osseus dysplasia
Name that lesion: middle aged, AA female. in ONE area and NOT the anterior mandible. No tx necessary, RL, RO and Mixed
Focal COD
Name that lesion: middle aged, AA female. in MULTIPLE QUADRANTS. No tx necessary, RL, RO and Mixed
Florid COD
What is the etiology of Fibrous Dysplasia?
genetics
Do you see swelling in fibrous dysplasia? Is it unilateral or bilateral?
Unilateral swelling present
Is fibrous dysplasia painful? What age demographic does it affect? What age does it STOP growing?
Painless, EARLY onset that ends at age 20
What is the cardinal sign of Fibrous dysplasia on a radiograph? Are the borders well defined or poorly defined?
GROUND GLASS appearance (kids dont PLAY (DIS-PLAY) on ground glass). ill defined borders
What is the treatment for fibrous dysplasia?
wait till it stops (age 20) and cosmetically remodel the bone
What is the condition where there is abnormal resorption and deposition of bone, weakened or deformed bone and happens in males over 40yrs (vs fibrous dysplasia in young)
Paget’s Disease of Bone
Name that condition: enlargment of jaws/ridges, dentures wont fit, spaces between teeth, generalized hypercementosis and COTTON WOOL RO areas
Paget’s Disease of Bone
Name that lesion: COTTON WOOL radiopaque areas
Paget’s Disease of Bone (old men make COTTON WOOL dresses for the beauty PAGET)
Paget’s Disease of Bone has an INCREASED RISK of what condition?
OSTEOSARCOMA
WTF is this?? Rapid onset, increase in VANILL-YL-MAN-DELIC ACID (VMA), anterior maxilla, radiolucent and destructive
Melanotic NERURO-ECTODERMAL Tumor of Infancy (WTF?)
In a Melanotic NeuroEctodermal Tumor of Infancy (long ass name, I Know), what molecule is overproduced?
VANILL-YL-MAN-DELIC ACID (VMA)
Name that condition: defect in OSTEOCLASTS leading to INCREASED DENSITY of bone (skull and jaws) and osteomyelitis?
Ostropetrosis
Osteopetrosis can cause what in older folks and what in younger folks?
older: cranial nerve compression; younger: bone fractures
What are the two Central Neural lesions and what two types of structures can they affect?
- Neurofibroma and 2. Schwannoma…they can ENLARGE 1. canals and 2. foramina
What RL lesion can look like anything (multilocular, unilocular, in any location) and is extremely important to ASPIRATE before biopsy?
Hemangioma (aspirate any RL lesion before biopsy to rule out vascular lesions)
What is the most common primary bone cancer?
osteosarcoma
What is the most common cancer in bone?
Metastasis
Since you already know metastasis is the most common cancer found in bone, what are the 6 most common cancers to metastasize to the bone?
1.breast 2.lung 3.thryoid 4. kidney 5.prostate 6.colorectal
What is associated with numb chin syndrome?
malignant bone tumor growth
What age range is most commonly affected by Osteosarc?
20’s-30’s
Name that condition: age 20’s-30’s, swelling of bone, loose/displaced teeth, PARESTHESIA
Osteosarc