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Oral Path > Soft Tissue Description > Flashcards

Soft Tissue Description Flashcards

1
Q

List the categories of how you would describe soft tissue lesions

A

Number
Color
Borders
Size
Texture
Elevation/Depression (use specific terms)
Location (be specific)

(new cardinal bird sees the easy lesion)

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2
Q

List the colors of soft tissue

A
  1. Pink - normal tissue w/o change in color
  2. Red - typically due to increase in blood or blood vessels closer to the surface blood vessels or inflammation
  3. White - keratin, thicker epithelium
  4. Blue - mucin deep in tissue, venous blood, foreign body, melanin
  5. Purple - blood extravasation (hemosiderin pigment)
  6. Yellow - ulcers, fat or lipid-containing cells
  7. Brown - melanin
  8. Black - foreign material, melanin or (necrotic) tissue
  9. Clear - when fluid filled
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3
Q

How would you describe the borders of soft lesions?

A
  1. The distinction between normal tissue and abnormal tissue
    -well-defined or sharply demarcated vs. poorly defined or poorly demarcated, blending or diffuse
  2. The contour between normal and abnormal tissue
    -smooth vs irregular/jagged
  3. Pattern/shape to the border
    -striated, scalloped, semilunar/C-shaped, serpentine
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4
Q

Developmental disorders and benign neoplasms have ________ borders

A

well-defined and smooth borders

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5
Q

All other disease categories typically have ________ borders

A

poorly defined, blending, irregular or diffuse borders

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6
Q

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

A

TRUE

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7
Q

How would you describe the size of a soft tissue lesion?

A

Measure in mm or cm at each visit so you know if the lesion changes over time

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8
Q

How do metabolic and immune-mediated diseases change in size?

A

May get bigger then smaller (come and go)

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9
Q

How do neoplasms change in size?

A

Typically show continula growth but at a variable rate

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10
Q

How do infectious diseases change in size?

A

Tend to grow bigger quickly without treatment

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11
Q

How to developmental diseases change in size?

A

Often show up and often stay the same size over time (except cysts - can keep enlarging)

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12
Q

Describe the texture descriptors for soft tissue lesions including surface changes and palpation quality

A

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

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13
Q

List the descriptors for flat lesions

A

Macule
Patch

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14
Q

List the descriptors for raised lesions

A

-Plaque
-Papule
-Nodule
-Tumor/mass
-Vesicle
-Bulla
-Postule

Other descriptors of raised lesions:
-sessile
-pedunculated

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15
Q

Macule

A

Any change in shape or color that is < or equal to 1.0cm

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16
Q

Patch

A

Any change in shape or color that is >1.0cm

17
Q

Plaque

A

Slightly elevated lesion with large area

18
Q

Papule

A

Solid, < or equal 0.5cm

19
Q

Nodule

A

Solid, >0.5cm (sessile vs pedunculated)

20
Q

Tumor/mass

A

Non-specific for any large, solid lesion

21
Q

Vesicle

A

Fluid-filled elevation < or equal to 0.5cm

22
Q

Bulla

A

Fluid-filled elevation >0.5cm

23
Q

Postule

A

Pus-filled elevation of any size (yellow fluid)

24
Q

Sessile

A

Base is broader than surface (dome)

25
Q

Pedunculated

A

Mushroom shaped

26
Q

List the descriptors of depressed lesions

A

-Fissure
-Atrophy
-Erosion
-Ulcer
-Scar

27
Q

Fissure

A

Linear cleavage of mucosa

28
Q

Atrophy

A

Thinning of the mucosa (red)

29
Q

Erosion

A

Depressed lesion, incomplete loss of mucosa (red)

30
Q

Ulcer

A

Complete loss of mucosa (dark yellowish)

31
Q

Scar

A

Result of injury causing mucosal atrophy or hypertrophy with increased underlying collagen

32
Q

List the terms used for bone/radiographic description

A
  1. Number - one, two or multiple
  2. Size - small, large, measure (? x ?cm)
  3. Shape - round, ovoid, triangular, irregular. Unilocular/multilocular? Scalloped?
  4. Periphery - Well defined (corticated or non-corticated)? Ill-defined? Blending with normal bone?
  5. Density - Radiolucent, radiopaque or mixed? Altered bone pattern also include (e.g. ground glass, cotton wool)
  6. Location - Identify epicenter. Superior, inferior, mesial or distal to? Associated with crown or apex of tooth? Bilateral or generalized?
  7. Effect - on surrounding structures (bone and teeth)

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Oral Path (17 decks)

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