Reactive Lesions Flashcards

1
Q

Fissured Tongue

Cause

App

Assoc

Tx

A
  • Hereditary, variation of normal
  • Increases with age
  • Multiple grooves and fissures on dorsal
  • Assoc with geographic tongue
  • No treatment needed
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2
Q

Aknyloglossia

Cause

Tx

A
  • Short lingual frenum
  • Abnormal attachment of frenum to complete fusion of ventral to floor of mouth
  • Usually no therapy unless extreme
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3
Q

Lingual Thyroid

Cause

App

A
  • Failure of thyroid gland to descend properly
  • App
    • Vascular-appearing soft tissue enlargement in area of foramen cecum
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4
Q

Gingival Fibromatosis

Cause

Age

Interefere with

Dist

Location

Tx

A
  • Collagenous overgrowth of gingival tissue
  • Slowly and progressive
  • Autosomal dominant or idiopathic
  • Begins before age 20
  • Can interfere with lip closure, tooth eruption
  • Generaized or localized
  • Maxilla and palatal more frequent
  • Gingivectomy and rigorous oral hygeine
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5
Q

Reactive Soft tissue enlargements

Result of

A
  • Reactive is result of injury
  • Sometimes hx of injury
  • Sometimes symptomatic or painful
  • Relatively rapid growth (hrs-wks)
  • May flctuate in size
  • Usually regress
  • May be assoc with tender lymphadenopathy & systemc manifestations
  • Reactive towards
    • Infections, chemical trauma, allergy, meds
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6
Q

Parulis/Sinus Tract

Cause

App

Tx

A
  • Aka gum boil, periodontal abcess
  • Gingival abcess secondary to periapical pathosis
    • Focus of pus in the gingiva
  • White-yellow & assoc with pain
  • Treat underlying issue (periodontal pocket or nonvital tooth) achieves resolution
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7
Q

Irritation Fibroma ( Fibrous Hyperplasia)

Cause

App

Dist

Tx

A
  • Reactive hyperplasia of fibrous CT
    • Caused by chronic irritation or trauma
  • Well cicrmscribed
  • Smooth surfaced, sessile, pink nodule
  • Firm
  • May be ulcerated or inflamed
  • Dist
    • Usually on buccal mucosa or bite line
  • Tx
    • surgical excision
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8
Q

Epulis Fissuratum

Inflammatory Fibrous Hyperplasia

Cause

App

Dist

A
  • Tumor like hyperplasia of fibrous CT
  • Develops in association of ill fitting denture
  • App
    • Rolls of tissue associated with a denture flange
    • Slowly growing
    • Firm or compressible
    • May be ulcerated or inflamed
  • Maxilla or mandible especially anterior portions
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9
Q

Inflammatory Papillary Hyperplasia

Cause

App

A
  • Represents both fibrous and epithelial hyperplasia
  • Poorly fitting dentures or wearing them all day
  • App
    • Numerous red, edematous papillary projections
    • Hard palate
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10
Q

Drug-related Gingival Hyperplasia

Cause

A
  • Abnormal growth of tissue due to meds that affect collagen remodeling and degradation
    • Anticonvulsants: Phenytoin (young)
    • Ca Channel blockers: Nifedipine middle aged
    • Cycloporine broad age range
  • Degree of enlargement related to susceptibility and hygiene
  • Rigorous hygiene can prevent/limit
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11
Q

Developmental Lesions 4

A

Fissured Tongue

Ankyloglossia

Lingual Thyroid

Gingival Fibromatosis

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12
Q

Soft Tissue Enlargements

Reactive Lesions 6

A
  • Parulis/Sinus Track/ Periodontal Disease
  • Fibrous Hyperplasia/ Irritation Fibroma
  • Epulis Fissuratum
  • Drug-related Gingival Hyperplasia
  • Necrotizing Sialometaplasia
  • Mucocele
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13
Q

Soft Tissue Enlargements

Epithelial Benign Tumors 5

A
  • Papilloma
  • Verruca Vulgaris
  • Condyloma acuminatum
  • Inflammatory papillary hyperplasia
  • Seborrhic Keratosis
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14
Q

Benign Warty Tumors of the squamous Epithelium

Associated with virus

A
  • Benign, virus induced, focal hyperplasia of squamous epithelium
  • Warty lesions assoc with HPV
    • Papilloma: HPV 6, 11
    • Verruca vulgaris: HPV 2, 4, 6, 40
    • Condyloma: HPV 2, 6, 11, 53, 54
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15
Q

Clinical features of warty epithelial tumors 5

A
  • Pale white-tan
  • Firm
  • Rough or cauliflower surface
  • Fixed to surface but not deep
  • Non-painful persistent
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16
Q

Papilloma

Cause

App

Tx

Prog

A
  • Cause HPV 6 11
  • App
    • Pale rough exophytic
    • Always pedunculated
    • Multiple finger like projections
  • Tx
    • Excisional biopy
  • Prog good
17
Q

Verruca Vulgaris

Cause

App

common location

Tx

Prog

A
  • Cause HPV 2 4 6 40
  • App
    • Similar to papillom but sessile base
    • More common on skin
  • Tx
    • Oral: excisional biopsy
    • Skin: Cryosurgery, chem cautery, laser ablation
  • Prog good
18
Q

Condyloma Acuminatum

Cause

App

Location

Acquired

Tx

Prog

A
  • Cause
    • High risk 16 18 31
  • App
    • Multiple lesions
  • Loc
    • Most common anogenital
  • Sexually transmitted
  • Tx
    • Excisional biopsy
  • Prog recurrence common
19
Q

Seborrheic Keratosis

Def

Cause

App

Age

Location

A
  • Benign proliferation of epidermal basal cells
  • Cause
    • unknown, assoc w/ chronic sun
    • Somatic mutations
  • App
    • Macules–> fissured verrucous plaques
  • Extremely common for old ppl
  • Does not occur in mouth
20
Q

Soft tissue cysts

Growth

Sometimes included in

Location

Definition

consists of

what can you do to them

A
  • Persistent and progressive
  • Sometimes included in diff diag of soft tissue tumors
  • Location can be clue to diagnosis determining what its reacting to
  • A cyst is a pathological cavity lined by epithelium
  • 3 layers
    • Connective tissue wall
    • Epithelium layer lining
    • Lumen
      • Often fluid filled
  • Compressible
  • All are excised
21
Q

Soft Tissue Cysts 4

A
  • Gingival cyst of the adult
  • Lymphoepithelial cyst
  • Epidermoid/dermoid cyst
  • Thyroglossal tract cyst
22
Q

Epidermoid Cyst

Filled

Location

App

A
  • Keratin filled derived from hair follicle
  • Common on skin
  • Floor of mouth
  • App
    • Nodular, fluctuant subcutaneous mass
23
Q

Gingival cyst of adult

Location

Counterpart of

A
  • Attached gingiva anterior to first molars
  • Soft tissue counterpart to lateral periodontal cyst (intrabony)
24
Q

Lymphoepithelial Cyst

App

Location

A
  • Yellow or white
  • Almost always
    • Lateral and ventral tongue
    • floor of mouth
25
Q

Thyroglossal Tract Cyst

Cause

Location

A
  • Arises from remnants of thyroglossal tract which develops in foramen cecum area
  • Most cases below hyoid bone, midline of neck
  • Painless, fluctuant, movable swelling