Upper gastrointestinal tract 2 Flashcards
Name 2 benign neoplasia’s of the oral cavity
- Papillomas
- Epulides
Name 4 malignant neoplasia’s of the oral cavity
- Squamous cell carcinoma
- Melanoma
- Fibrosarcoma
- Osteosarcoma
Describe the features of viral papillomas
- Dog, cat, cattle, rabbits … most species
- Oral + labial mucosa: cauliflower appearance
- Mainly younger animals
- Often multiple
- Induced by papillomavirus
- Spontaneous regression probable
Epulides are most common in which spp?
Dogs
Where are Epulides derived from?
Periodontal ligament or connective tissue
Name the 3 sub-types of epulides
- Fibromatous epulis
- Ossifying epulis
- Acanthomatous epulis
Describe a Fibromatous epulis
Expansile, no invasion, composed of fibroblasts and collagen
Describe an ossifying epulis
Fibromatous epulis, but with bone formation
Describe an Acanthomatous epulis
Contains stratified epithelium, invades underlying bone around the tooth
Squamous cell carcinomas are derived from?
Oral squamous epithelium
Squamous cell carcinomas are the most common malignant neoplasm in … and the second most common malignant neoplasm in … ?
Most common = cats
Second most common = dogs
Where do squamous cell carcinomas metastasise to?
- Frequent invasion of adjacent soft tissue, skeletal muscle + bone
- Metastasis to regional lymph nodes
What are the main features of tonsillar squamous cell carcinomas?
- In dogs
- Early metastasis into regional LNs
- Metastatic neoplasms are larger than the primary tumour
Describe the histological features of tonsillar squamous cell carcinomas
- The basal membrane is focally interrupted and infiltrated by chords of neoplastic cells that infiltrate the lymphoid tissue
- Multifocal squamous differentiation and “pearl” formation (hypereosinophilic compact material)
Where are melanomas derived from?
Melanocytes in the oral cavity from pigmented mucosa
What is the most common oral cavity malignant neoplasm in dogs?
Melanoma
Describe the pathogenesis of melanomas
Highly invasive, early metastases
[haematogenous + lymphatic route -> lungs, submandibular LNs]
Where are fibrosarcomas derived from?
Connective tissue of the oral cavity, often buccal mucosa
Fibrosarcomas are the second most common malignant neoplasm for which spp?
Cats
Describe the pathogenesis of fibrosarcomas
o Frequent invasion of underlying connective tissue, skeletal muscle + bone
o Can lead to widespread metastases [haematogenous route]
o Looks similar to SCC. Biopsy needed but both poor prognosis
Name the order of most common malignant oral cavity tumours in the DOG
- Malignant melanoma
- Squamous cell carcinoma
- Fibrosarcoma
Name the order of most common malignant oral cavity tumours in the cat
- Squamous cell carcinoma
2. Fibrosarcoma
Abnormal tooth wear (attrition) is important in which spp?
Herbivores, guinea pigs/rabbits
What are some causes of reduced abnormal tooth wear (attrition)?
a) missing teeth (oligodontia)
b) interdental gaps (diastasis)
c) mal-alignment