Oropharyngeal Problems

Question 1

Eosinophilic Granuloma

• where
• what
• Dx
• Tx
• Predisposition

Answer 1

• upper lips but NOT nares, can involve pharynx
• also seen in lower legs
• yellow-white, indurated lesion
• Dx: deep biopsy- wedge
• Tx: steroids and megoestrol acetate
• Predisposition: cats and CKCS

Question 2

Chelitis

• what
• Tx

Answer 2

• anaerobic infection of mouth skin folds

- Tx: improve hygeine, chelioplasty

Question 3

Cysts

Answer 3

• expansile lesion
• causes unknown
• mucosal or dentrigerous (dentrigerous can occur aroudn tooth root)

Question 4

Feline gingivitis

Answer 4

• red, congested MM

- halitosis and discomfort

Question 5

Oral neoplasia

• CS (4)
• increasing with age (3)
• increasing with dog (3)
• increasing nastiness (4)
• tonsillar carcinoma CS (4)

Answer 5

• blood, halitosis, salivation, loss of pigmentation, convexity of hard palate
• increasing age: fibrosarcoma –> SCC –> mlaignant melanoma
• small: MM, medium/large: fibrosarcoma/SCC, boxer: simple epulid
• nastiness: simple epulid –> MM –> linhual carcinoma –> tonsillar carcinoma
• tonsillar carcinoma: pain on opening mouth, mass lesion/crater, mass in neck, cervical pain

Question 6

Oral Neoplasia

• systemic appraisal (3)
• Tx (4 and when to use the last one (4))

Answer 6

-local Ln enlarged?, x ray thorax, biopsy any lump
-TX:
no treatment: ABs/ steroids
local excision: palliative
radiotherapy: good for SCC but may cause simple epulid to become malignant
-radical surgery (removal of parts of jaw): when restricted invasion, epulids, SCC, osteosarcoma