Path - Oral Cavity and Salivary Glands Flashcards
associated systemic dzs w/ periodontitis
- AIDS
- leukemia
- Crohn’s
- DM
- Down’s
- sarcoidosis
- Chediak-Higashi syndrome
- agranulocytosis
- cyclic neutropenia
describe clinical presentation of recurrent herpetic gingivostomatitis
1-3 mm groups of vesicles on lips, nasal orifices, buccal mucosa, gingiva, and hard palate
demographic pyogenic granumola
- children
- young adults
- pregnant women
salivary gland ductal obstruction due to stones
sialolithiasis
focal demineralization of enamel and dentin by acidic metabolites of fermented sugar produced by bacteria
dental carries
how are odontogenic keratocysts different from regular odontogenic cysts
ondoctogenic keratocysts are agressive
mucocele specifically of sublingual gland
ranula
mass on lower lip secondary to trauma
mucocele
painless, slow growing, mobile (if superficial) benign tumors within parotid or submandibluar areas or in buccal cavity
pleomorphic adenoma
complications of dental carries
- weight loss
- pain
- life-threatening infections
most common fungal infection of oral cavity
c. albicans
sticky, colorless biofilm that collects b/w and on surface of teeth
dental plaques
small, poorly encapsulated, infiltrative, pink-gray lesions
adenoid cystic carcinoma
tumor in parotid and submandibular glands that grows along nerves (perineural)
adenoid cystic carcinoma
recurrent herpetic gingivostomatitis may persist in ____ patients
immunocompromised
HPV-associated and non-HPV-associated squamous cell carcinoma are found in what areas of the head and neck
HPV-associated: oropharynx
not HPV associated: oral cavity
TP53, P63, and NOTCH1 gene mutations
classic (tobacco) associated SCC
describe clinical presentation of acute herpetic gingivostomatitis
abrupt onset of diffuse oral vesicles w/ ulceration, lymphadenopathy, fever, anorexia, and irritability
clinical presentation of xerostomia
- oral dryness
- tongue fissuring
- inflammatory salivary gland enlargement
benign mass made of up a mixture of ductal (epithelial) and myoepithelial cells
pleomorphic adenoma
mass due to ductal blockage or rupture with saliva leaking into surround stroma
mucocele
3 types of clinical presentation of c. albicans
- pseudomembranous (thrush)
- erythematous
- hyperplastic
a carcinoma that arises from pleomorphic adenoma
carcinoma ex pleomorphic adenoma
complications of xerostomia
- increased rate of dental caries
- candidiasis
- difficulty swallowing and speaking
histology shows upper layer of columnar cells and lower layer with cuboidal to polygonal cells
warthin tumor
local and distal invasion sites of SCC
local: submandibular and cervical LNs
distal: lungs, liver, bones
mechanisms of activation of herpes simplex virus
- UV light
- URI
- menstruation
- immunosuppression
- temperature extremes
prognosis of SCC for tobacco and HPV associated
5 year survival rate:
- early stage tobacco-related: 80%
- late stage tobacco-related: 20%
- HPV: better prognosis
histology shows lots of mitochondria that look oncocytic
warthin tumor
common locations of odontogenic keratocysts
posterior mandible (jaw/jawbone)
acute pharyngitis and tonsillitis that causes gray-white exudative membrane, enlargement of LN in neck, palatal petechiae
infectious mono
white-coated tongue through which hyperemic papillae project
“strawberry tongue” from scarlet fever
fiery red tongue with prominent papillae
“raspberry tongue” from scarlet fever