Review (4) Flashcards
What is the current trend for risk of developing malignant melanoma?
Risk is increasing, as are the incidence and mortality of malignant melanoma
What is the prognosis for a central ossifying fibroma?
Excellent
What are the features of nevoid basal cell carcinoma syndrome?
Multiple OKCs, especially in children under 15 y.o.
Multiple BCCs more aggressive than typical BCCs
What is the most common soft tissue location for metastatic disease to present in the oral cavity?
Gingiva
Which cyst fells firm because it is filled with keratin?
Gingival cyst of the newborn
What is the definition of a leukoplakia?
White patch that cannot be wiped off AND cannot be diagnosed clinically or microscopically as any other condition
T/F: Leukoplakias will have blended borders.
False
Crisply defined borders
What is the most common overall site for leukoplakia?
Buccal mucosa
What are the highest risk sites for leukoplakia?
Floor of mouth, ventral tongue, soft palate
T/F: Alcohol alone puts patients at greater risk for leukoplakia.
False
Cigarettes alone
Alcohol with cigarettes
_______ of leukoplakias show hyperkeratosis without epithelial dysplasia.
80%
What are the most common sites for erythroplakia?
Floor of mouth, ventral tongue, soft palate/tonsillar pillars
T/F: Erythroplakia is more common in males.
False
Leukoplakia more common in males
Erythroplakia - no gender predilection
How do you calculate tobacco pack/year?
Number of packs/day x number of years smoked
What is the most common type of BCC?
Nodule-ulcerative
T/F: BCC will have hair.
False
BCC will not have hair
T/F: Chronic sun exposure is the greatest risk for cutaneous SCC.
True
What percentage of cutaneous SCC are on the head and neck?
70%
T/F: Cutaneous SCC is rare on the lower lip.
False
More common on lower lip
T/F: 25% of oral SCC occur in patients under 40 with no risk factors, especially on the ventrolateral tongue.
True
What percentage of patients diagnosed with oral SCC have hx of tobacco smoking?
80%
What are the two most common places to see OSCC?
Tongue and floor of mouth
What will lead to strong likelyhood that SCC patients will develop new aerodigestive tract malignancies?
Continue carcinogenic habit (smoking)
What are the high risk sites for melanoma?
BANS - back, arms, neck, scalp
What is the most common type of melanoma?
Superficial spreading
What is the prognosis for oral melanoma?
Poor
Sialogogues are useful in treating sialadenitis, but must be used with adequate ____________.
Hydration
____________ is a major cause of xerostomia.
Polypharmacy
What is the most common major salivary gland to have a neoplasm?
Parotid gland
What is the most likely major salivary gland to have a MALIGNANCY?
Sublingual
What is the most common minor salivary gland to have a MALIGNANCY?
Tongue and retromolar region
80% of pleomorphic adenomas occur in the _________.
Parotid gland
What is the most common salivary gland malignancy?
Mucoepidermoid carcinoma
T/F: Teeth will test vital in a patient with Cemento-Osseous dysplasia.
True
Most common in black females
Which syndrome is associated with multiple osteomas?
Gardner syndrome
Which bone malignancy results in a radical “one chance for all” surgery?
Chondrosarcoma
Patients with which disease may present with multiple OKCs?
Nevoid basal cell carcinoma syndrome
Which type of odontoblasts is often found in the anterior jaw?
Compound odontoma - multiple shards of teeth
T/F: Ameloblastomas will often bust through the cortical plate and invade soft tissue.
False
Dramatic expansion with ameloblastoma
