Oral Patho 3 Flashcards

1
Q

where aphthous stomatitis ocurrs

A

non keratinized mucosa

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2
Q

aphthous stomatitis

A

canker sore

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3
Q

most common aphthous stomatitis

A

minor-small shallow, surrounded by erthema

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4
Q

herpes location

A

hard gingiva

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5
Q

herpetiform aphthous ulcers

A

no blistering vs herpes, multiple

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6
Q

blistering

A

not canker sore

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7
Q

treatment of canker sores

A

corticosteroids most common

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8
Q

squamous cell carcinoma

A

deadly,30,000 new cases/year

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9
Q

causes of squamous cell carcinoma

A

tobacco, alcohol, and HPV

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10
Q

most common squamous cell carcinoma

A

vermillion border/lower lip

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11
Q

malignant cells

A

rapid/invasive growth, moves (metastasis)

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12
Q

oncogenes

A

DNA which controls proliferation/metastisis

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13
Q

tumor supressor genes

A

regulate growth/metastisis

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14
Q

lip scc

A

most common, cancer on vermillion border (lower lip)

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15
Q

intraoral SCC

A

gingival and alveolar carcinomas; painless, keratinized, dentures will not fit, post-lateral tongue

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16
Q

metastatic SCC

A

Metastasis to LN-firm, non-tender, enlarged-FIXED

17
Q

Oropharyngeal SCC

A

Tonsillar Region-HPV related

18
Q

T1 tumor

A

<2cm

19
Q

T2

A

2-4cm

20
Q

T3

A

> 4cm

21
Q

Histopath

A

epithelial invasion, necrosis (b/c outgrow blood supply), desmoplasia, angiogenesis (invade blood vessels and cause them to grow to them)

22
Q

distant metastisis

A

below the clavicle

23
Q

Staging of Metastatic SCC

A

Size of LN (T1-T4)

Regional Lymph Node involvement (single vs. multiple and large vs small)

Distant Metastasis (Absent vs. Present)

24
Q

Most common stage of Metastatic SCC (T1-T4)

A

T2 and T3

25
Q

Histopathological Grading

A

grade tumors at a histopatho level

26
Q

Grade I

A

well-differentiated (low grade); tumor resembles normal (origin) tissue

27
Q

Grade IV

A

Does not resemble tissue it came from (poorly differentiated and high grade or anaplastic)-HARD to make a diagnosis

28
Q

Average Five year survival

A

64%

29
Q

Who gets Lichen planus

A

middle aged adults; F>M 2:3

30
Q

Oral lesions of Lichen Planus

A

white lace like dots on the insides of the cheeks and tongue, peeling

31
Q

Reticular Oral LP

A

Striations, papules, plaques

32
Q

Erosive Oral LP

A

Less common, symptomatic, peripheral striations and desquamative gingivitis–> Shiny red gums

33
Q

Diagnosis of LP

A

isolated solitary lesions worrisome, candidiasis, microscopic hard due to look alikes, use direct immunofluorescence (fibrinogen at BMZ)

34
Q

Treatment of LP

A

asymptomatic –> no treatment

Symptomatic –> antifungals, corticosteroids, immunomodulating agents