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Oral Pathology > Oral Pathology Chapter 11 > Flashcards

Oral Pathology Chapter 11 Flashcards

1
Q

What is a rupture of a minor salivary gland duct likely caused by trauma called?

A

Mucocele

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2
Q

What is a mucocele in the floor of the mouth called?

A

Ranula

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3
Q

What is the process of removing the roof an intraoral lesion called?

A

Marsupialization

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4
Q

What is it called when an epithelial-lined cavity arises from salivary gland tissues and can appear blue?

A

Salivary duct cyst

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5
Q

What is it called when calcifications develop in the salivary duct?

A

Sialolith

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6
Q

Which gland is the place sialoliths occur the most often?

A

Submandibular gland

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7
Q

Which specific duct has troubles with Sialoths?

A

Wharton’s duct

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8
Q

Mumps, bacterial infections, Sjogren syndrome, sarcoidosis, radiation and allergies cause what salivary disease?

A

Sialadenitis

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9
Q

What is the scientific term for mumps?

A

Epidemic Parotitis

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10
Q

What are three complications from mumps?

A
  1. Epididymoorchitis, 2. Oophoritis and 3. Mastitis
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11
Q

What is a rare complication from general anesthesia that affects salivary glands?

A

Anesthesia mumps

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12
Q

What is a non-inflammatory asymptomatic salivary gland enlargement called?

A

Sialadenosis

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13
Q

What is it called when a minor gland, often on the soft or hard palate, forms and mimics a neoplasm?

A

Adenomatoid Hyperplasia of minor salivary glands

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14
Q

What is the name of local inflammatory destruction of salivary glands believed to be due to ischemia?

A

Necrotizing Sialometaplasia

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15
Q

What disease causes eversion of the lip, red dot duct orifices, “weeping” mucopurulent secretions and typically targets middle-aged to old males?

A

Cheilitis Glandularis

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16
Q

What is the name of the condition that causes excessive salivation, can be caused by local irritants (ill-fitting dentures, aphthous ulcers, etc.), GERD, Rabies, heavy-metal poisoning, lithium medications and some neurologic disorders?

A

Sialorrhea

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17
Q

What are three complications of xerostomia?

A
  1. Candidiasis, 2. Prone to cervical and root caries and 3. Alteration of tastes
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18
Q

What are two prescriptions to treat xerostomia?

A
  1. Pilocarpine and 2. Cevimeline
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19
Q

What is the autoimmune disease that targets women and Venus Williams and creates xerostomia?

A

Sjogren’s Syndrome

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20
Q

What is the biggest health risk with Sjogren’s Syndrome?

A

Increased risk for Lymphoma

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21
Q

What is probably the biggest threat when you see a growth in a salivary gland?

A

Salivary Neoplasms

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22
Q

What is the order of the odds of getting a salivary neoplasm (location)?

A
  1. Parotid gland (64-80%), 2. Minor gland (9-23%), 3. Submandibular and 4. Sublingual
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23
Q

Where is the most common location of minor salivary gland neoplasms?

A

Palate

24
Q

What are the odds that a salivary neoplasm is benign/malignant for the Parotid gland?

A

70% benign, 30% malignant

25
Q

What are the odds that a salivary neoplasm is benign/malignant for the Submandibular gland?

A

60% benign, 40% malignant

26
Q

What are the odds that a salivary neoplasm is benign/malignant for the Sublingual gland?

A

30% benign, 70% malignant

27
Q

For the following, is it more likely to be benign, malignant, or 50/50: Minor gland, Upper lip, lower lip, palate, tongue, cheek and retromolar pad?

A

Minor gland = 50/50, Upper lip = benign, lower lip = malignant, palate = 50/50, tongue = malignant, cheek = 50/50 and retromolar pad = malignant

28
Q

What is the most common neoplasm?

A

Pleomorphic adenoma (benign)

29
Q

What is the most common malignant neoplasm?

A

Mucoepidermoid carcinoma

30
Q

What are the four benign salivary neoplasms?

A
  1. Canalicular adenoma, 2. Pleomorphic adenoma, 3. Warthin tumor and 4. Onocytoma
31
Q

What is a slow growing, painless mass with blue or normal color that is primarily (75%) found in the upper lip?

A

Canalicular adenoma

32
Q

The major of parotid tumors and more than half of submandibular tumors are caused by what?

A

Pleomorphic Adenoma (benign)

33
Q

What parotid tumor is highly correlated with smoking?

A

Warthin’s tumor

34
Q

What is the second most common benign parotid gland neoplasm?

A

Warthin’s tumor

35
Q

What are the five malignant Salivary Neoplasms?

A
  1. Mucoepidermoid carcinoma, 2. Acinic cell adenocarcinoma, 3. Adenoid cystic carcinoma, 4. Polymorphous low-grade adenocarcinoma and 5. Malignant mixed tumor
36
Q

What is the most common malignant salivary tumor?

A

Mucoepidermoid Carcinoma

37
Q

What is the most common salivary tumor in children?

A

Mucoepidermoid Carcinoma

38
Q

What is the most common and second most common sites of a mucoepidermoid carcinoma?

A
  1. Parotid most common, 2. Minor glands second most common
39
Q

Should a mucoepidermoid carcinoma have an intracystic component

A

+2

40
Q

Should a mucoepidermoid carcinoma have neural invasion present, how many points does that equal?

A

+2

41
Q

Should a mucoepidermoid carcinoma have necrosis present, how many points are assigned?

A

+3

42
Q

Should a mucoepidermoid carcinoma have four or more mitoses per 10 HPF, how many points are assigned?

A

+3

43
Q

Should a mucoepidermoid carcinoma have an anaplasia present, how many points are assigned?

A

+4

44
Q

How many points are associated with a low grade mucoepidermoid carcinoma?

A

0-4

45
Q

How many points are associated with a intermediate grade mucoepidermoid carcinoma?

A

5-6

46
Q

How many points are associated with a High grade mucoepidermoid carcinoma?

A

7-14

47
Q

What is the low-grade survivability of a mucoepidermoid carcinoma?

A

90-95%

48
Q

What is the high-grade survivability of a mucoepidermoid carcinoma?

A

30-54%

49
Q

Which has a better prognosis: parotid gland or submandibular gland tumors?

A

Parotid

50
Q

What is it called when a mucoepidermoid carcinoma infiltrates bone?

A

Intraosseous Mucoepidermoid carcinoma

51
Q

What causes Intraosseous mucoepidermoid carcinomas?

A

Ectopic salivary gland developmentally was entrapped within the jaw

52
Q

What is the name of a low-grade malignant neoplasm showing serous acinar differentiation?

A

Acinic Cell Adenocarcinoma

53
Q

What causes 50% of minor gland neoplasms, is the most common malignant submandibular gland tumor and has a tendency for perineural spread?

A

Adenoid Cystic Carcinoma

54
Q

What is the name of the neoplasm that occurs almost exclusively in the minor glands and exhibits different growth patterns histologically?

A

Polymorphous Low-grade Adenocarcinoma

55
Q

What type of malignant mixed tumor is most common in major glands, is the malignant transformation of the epithelial cells and represents a mass that has been present for many years but suddenly has rapid growth with pain or ulceration?

A

Carcinoma ex pleomorphic adenoma

Oral Pathology (14 decks)

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