Soft Tissue Description Flashcards
List the categories of how you would describe soft tissue lesions
Number
Color
Borders
Size
Texture
Elevation/Depression (use specific terms)
Location (be specific)
(new cardinal bird sees the easy lesion)
List the colors of soft tissue
- Pink - normal tissue w/o change in color
- Red - typically due to increase in blood or blood vessels closer to the surface blood vessels or inflammation
- White - keratin, thicker epithelium
- Blue - mucin deep in tissue, venous blood, foreign body, melanin
- Purple - blood extravasation (hemosiderin pigment)
- Yellow - ulcers, fat or lipid-containing cells
- Brown - melanin
- Black - foreign material, melanin or (necrotic) tissue
- Clear - when fluid filled
How would you describe the borders of soft lesions?
- The distinction between normal tissue and abnormal tissue
-well-defined or sharply demarcated vs. poorly defined or poorly demarcated, blending or diffuse - The contour between normal and abnormal tissue
-smooth vs irregular/jagged - Pattern/shape to the border
-striated, scalloped, semilunar/C-shaped, serpentine
Developmental disorders and benign neoplasms have ________ borders
well-defined and smooth borders
All other disease categories typically have ________ borders
poorly defined, blending, irregular or diffuse borders
T/F: If there is more than one lesion, each lesion may be well-defined but as a group could refer to this as a diffuse border
TRUE
How would you describe the size of a soft tissue lesion?
Measure in mm or cm at each visit so you know if the lesion changes over time
How do metabolic and immune-mediated diseases change in size?
May get bigger then smaller (come and go)
How do neoplasms change in size?
Typically show continula growth but at a variable rate
How do infectious diseases change in size?
Tend to grow bigger quickly without treatment
How to developmental diseases change in size?
Often show up and often stay the same size over time (except cysts - can keep enlarging)
Describe the texture descriptors for soft tissue lesions including surface changes and palpation quality
Surface Changes:
-Smooth vs. rough, textured, furrowed, grooved or striated
-Thin vs thick
-Homogenous/non-homogenous
-Papillary - exophytic projections on the surface (finger-like/”warty”, rounded/blunted)
-Granular/pebbly.- irregular but smooth surface
Palpation Quality:
-bony firm
-firm (but compressible)
-rubbery
-soft
List the descriptors for flat lesions
Macule
Patch
List the descriptors for raised lesions
-Plaque
-Papule
-Nodule
-Tumor/mass
-Vesicle
-Bulla
-Postule
Other descriptors of raised lesions:
-sessile
-pedunculated
Macule
Any change in shape or color that is < or equal to 1.0cm
Patch
Any change in shape or color that is >1.0cm
Plaque
Slightly elevated lesion with large area
Papule
Solid, < or equal 0.5cm
Nodule
Solid, >0.5cm (sessile vs pedunculated)
Tumor/mass
Non-specific for any large, solid lesion
Vesicle
Fluid-filled elevation < or equal to 0.5cm
Bulla
Fluid-filled elevation >0.5cm
Postule
Pus-filled elevation of any size (yellow fluid)
Sessile
Base is broader than surface (dome)
Pedunculated
Mushroom shaped
List the descriptors of depressed lesions
-Fissure
-Atrophy
-Erosion
-Ulcer
-Scar
Fissure
Linear cleavage of mucosa
Atrophy
Thinning of the mucosa (red)
Erosion
Depressed lesion, incomplete loss of mucosa (red)
Ulcer
Complete loss of mucosa (dark yellowish)
Scar
Result of injury causing mucosal atrophy or hypertrophy with increased underlying collagen
List the terms used for bone/radiographic description
- Number - one, two or multiple
- Size - small, large, measure (? x ?cm)
- Shape - round, ovoid, triangular, irregular. Unilocular/multilocular? Scalloped?
- Periphery - Well defined (corticated or non-corticated)? Ill-defined? Blending with normal bone?
- Density - Radiolucent, radiopaque or mixed? Altered bone pattern also include (e.g. ground glass, cotton wool)
- Location - Identify epicenter. Superior, inferior, mesial or distal to? Associated with crown or apex of tooth? Bilateral or generalized?
- Effect - on surrounding structures (bone and teeth)
(New Students See Past Description Loving Education)
