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Oral pathology > Soft tissue masses 1 > Flashcards

Soft tissue masses 1 Flashcards

1
Q

describe epithelial originated lesions

A
  • arise from epithelium (surface)
  • white, red, or mixed
  • smooth, rough, or papillary
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2
Q

describe mesenchymal lesions

A
  • arise from connective tissue (deeper)
  • mass under normal-appearing epthelium
  • often smooth
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3
Q

fibroma category

A

injury

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4
Q

fibroma etiology

A

reactive hyperplasia of fibrous tissue in response to trauma

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5
Q

fibroma demographics

A
  • broad demographic range
  • most common “tumor” of the oral cavity
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6
Q

fibroma clinical presentation

A
  • smooth-surface pink nodule similar in color to surround mucosa
  • sessile or pedunculated
  • common on buccal mucosa, labial mucosa, and gingiva
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7
Q

fibroma diagnosis

A

biopsy

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8
Q

fibroma tx

A

excisional biopsy

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9
Q

peripheral ossifying fibroma category

A

injury

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10
Q

peripheral ossifying fibroma etiology

A

uncertain, but understood to be a reactive process

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11
Q

peripheral ossifying fibroma demographics

A
  • teenagers and young adults
  • female predilection
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12
Q

peripheral ossifying fibroma clinical presentation

A
  • nodular, red/pink mass
  • may have ulcerated surface (yellow)
  • occurs exclusively on the gingiva
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13
Q

peripheral ossifying fibroma diagnosis

A

biopsy

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14
Q

peripheral ossifying fibroma tx

A
  • excisional biopsy
  • remove any local irritants (plaque and calculus)
  • can recur
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15
Q

pyogenic granuloma category

A

injury

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16
Q

pyogenic granuloma etiology

A

exuberant tissue response to local irritation, poor hygiene, or hormonal factors

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17
Q

pyogenic granuloma demographics

A
  • most common in children and young adults
  • female predilection
  • often develop in pregnant women
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18
Q

pyogenic granuloma clinical presentation

A
  • smooth or lobulated pink/red/purple mass
  • surface often ulcerated (yellow)
  • rapid growth
  • gingiva most common oral site
  • also common on lips, tongue, and buccal mucosa
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19
Q

pyogenic granuloma diagnosis

A

biopsy

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20
Q

pyogenic granuloma tx

A
  • excisional biopsy
  • remove any local irritants (plaque and calculus)
  • can recur
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21
Q

peripheral giant cell granuloma category

A

injury

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22
Q

peripheral giant cell granuloma etiology

A

reactive lesion caused by local irritation/trauma

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23
Q

peripheral giant cell granuloma demographics

A

broad demographic range

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24
Q

peripheral giant cell granuloma clinical presentation

A
  • red/blue nodular mass
  • occurs exclusively on gingiva or edentulous alveolar ridge
  • may produce “cupping” resorption of alveolar bone
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25
peripheral giant cell granuloma diagnosis
biopsy
26
peripheral giant cell granuloma tx
- excisional biopsy - remove any local irritants (plaque and calculus) - can recur
27
differential diagnosis for localized gingival mass remember what?
the four P's
28
what are the four P's?
- "Plain" fibroma - Peripheral ossifying fibroma - Pyogenic granuloma - Peripheral giant cell granulomas
29
inflammatory fibrous hyperplasia category
injury
30
inflammatory fibrous hyperplasia etiology
- tumor-like hyperplasia of inflamed fibrous CT - often secondary to ill-fitting dentures
31
inflammatory fibrous hyperplasia demographics
middle-aged and older adults
32
inflammatory fibrous hyperplasia clinical presentation
- firm folds of hyperplastic tissue - can be pedunculated (leaf-like) or nodular - most often in alveolar vestibule
33
inflammatory fibrous hyperplasia diagnosis
biopsy
34
inflammatory fibrous hyperplasia tx
- excisional biopsy - remove source of irritation
35
mucocele category
injury
36
mucocele etiology
rupture of salivary gland duct and spillage of mucin
37
mucocele demographics
more common in children and young adults
38
mucocele clinical presentation
- dome-shaped swelling - often bluish hue - fluctuant to firm texture - can rupture, release fluid, and recur - lower labial mucosa most common site
39
mucocele diganosis
biopsy (salivary gland neoplasms can mimic mucoceles)
40
mucocele tx
- may heal spontaneously - excisional biopsy and removal of feeding salivary glands
41
what is a ranula
mucocele occurring on the floor of the mouth
42
where won't a mucocele occur?
anywhere with out salivary glands
43
sialolith category
injury
44
sialolith eiology
deposition of calcium salt around nidus of debris in salivary duct
45
sialolith demographics
most common in young and middle-aged adults
46
sialolith clinical presentation
- hard submucosal mass - radiopaque mass on radiograph - can cause episodic pain - often in submandibular gland duct system, upper lip, or buccal mucosa
47
sialolith diagnosis
clinical and radiograph presentation
48
sialolith tx
- massage out of duct - stimulate salivary flow and apply moist heat - surgical intervention
49
reactive lymphadenopathy category
infectious
50
reactive lymphadenopathy etiology
reaction to infection (viral, bacterial, fungal)
51
reactive lymphadenopathy demographics
common in all age groups
52
reactive lymphadenopathy clinical presentation
- enlarged, tender lymph nodes - mobile upon palpation - accompanying symptoms of infection (fever, sore throat, fatigue)
53
reactive lymphadenopathy diagnosis
- clinical diagnosis - lab tests - biopsy if persistant
54
reactive lymphadenopathy tx
often self-limiting, resolves with treatment of underlying condition
55
what are the functions of lymphoid tissues
- recognize, and process foreign antigens (viral, bacterial, fungal) - respond to antigenic challenges ----> lymphoid cells proliferate, causing lymphoid hyperplasia
56
where are the head and neck locations of lymphoid tissues
- cervical LNs - lymphoid tissue of Waldeyer's Ring (tonsils) - scattered lymphoid aggregates (oropharynx, soft palate, lateral tongue, floor of mouth)
57
lymphadenopathy secondary to malignancy category
neoplastic
58
lymphadenopathy secondary to malignancy etiology
- direct spread from a primary cancer (metastasis) - lymphoproliferative disorders (lymphoma, leukemia)
59
lymphadenopathy secondary to malignancy demographics
more common in middle-aged and elderly
60
lymphadenopathy secondary to malignancy clinical presentation
- firm, non-tender LNs - may feel fixed or matted to underlying tissue - typically unilateral - may have "B symptoms" (night sweats, fever, weight loss)
61
lymphadenopathy secondary to malignancy diagnosis
- imaging - lab tests - biopsy
62
lymphadenopathy secondary to malignancy tx
treat underlying malignancy
63
palatal abscess category
infectious
64
palatal abscess etiology
- caries, perio disease, or trauma - accumulation of acute inflammatory cells
65
palatal abscess demographics
broad range
66
palatal abscess clinical presentation
- soft tissue swelling on the hard palate - associated with a nonvital tooth - often painful
67
palatal abscess diagnosis
- vitality testing - imaging (periapical RL)
68
palatal abscess tx
- test source of infection (RCT or EXT) ----> if EXT, submit any soft tissue removed for histo exam - monitor for improvement
69
parulis category
infectious
70
parulis etiology
- caries, perio disease, or trauma - inflammatory cells perforate through epithelium and drain through intraoral sinus
71
parulis demographics
broad
72
parulis clinical presentation
- yellow-red nodule on gingiva or in vestibule - associated with nonvital tooth - usually asymptomatic
73
parulis diagnosis
- vitality testing - imaging (periapical RL)
74
parulis tx
- treat source of infection (RCT or EXT) ----> if EXT, submit any soft tissue removed for histo exam - monitor for improvement

Oral pathology (7 decks)

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