Warts, polyps, epulides and vascular anomalies Flashcards
Fibrous nodules
soft tissue lesion
fibrous nodules aetiology
aetiology –> chronic minor trauma, chronic low grade infection
fibrous nodules pathology
initially inflamed fibrous tissue
once matured, dense collagenous tissue
fibrous nodules cf
well circumscribed
solid and raised
can form on mucosa close to the line of the occlusion
denture-induced
fibrous nodules presentations
- Fibroepithelial polyp
- Fibrous epulis
- Denture induced hyperplasia
fibrous nodules management
remove stimulus
excisional biopsy
Papilloma
oral lesion
Papilloma aetiology
HPV 6 and 11
transmitted from cutaneous or genital warts
Papilloma cf
painless
single/multiple
exophytic
cauliflower like appearance
Papilloma - pathology
SSE
Supported vascular CT
Keratinised
Papilloma - management
not considered to be pre malignant
excision
cryotherapy
if multiple consider potential for underlying immunodeficiency
management of skin lesion elsewhere
Pyogenic granuloma CF
Painless
Pedunculated
Red and inflamed
Commonly on gingiva
assoc with pregnancy epulis
Pyogenic granuloma aetiology
local low grade irritation
hormonal changes
trauma
Pyogenic granuloma pathology
hyperplastic lesion
dilated capillaries in loss ct stroma
mature lesions more fibrous with variable inflammation
Pyogenic granuloma management
excision
remove causative factors
pregnancy epulis : delay excision where possible until post partum
Improve oral hygiene