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28 Cards in this Set

  • Front
  • Back
4 micro subtypes of peripheral fibromas are
1 - focal fibrous - characterized by
just fibrous tissue - increased collagen, avascular, some chronic inflammatory cells
4 micro subtypes of peripheral fibromas are
2 - peripheral ossifying fibroma
- some ossifications, ulceration possible
4 micro subtypes of peripheral fibromas are
3 - giant cell fibroma
stellate shaped cells,
often on retro-cuspid papilla
4 micro subtypes of peripheral fibromas are
4 - peripheral odontogenic fibroma
odonto epitheleal cells
what type of peripheral fibroma micro subtype is this?
shows odontogenic epithelieal cells
peripheral odontogenic fibroma
what type of peripheral fibroma micro subtype is this?
- some ossifications, ulceration possible
peripheral ossifying fibroma
what type of peripheral fibroma micro subtype is this?
just fibrous tissue - increased collagen, avascular, some chronic inflammatory cells
focal fibrous hyperplasia
what type of peripheral fibroma micro subtype is this?
stellate shaped cells,
often on retro-cuspid papilla
giant cell fibroma
what type of peripheral fibroma is the one most likely to reoccur after excision?
peripheral ossifying fibroma
what does it mean if a peripheral fibroma is Pinker? if its redder?
pinker - more collagen, more pale
redder - more well vascularized granulation tissue
histographically, what does this describe?
increased colagen
avascular
some chronic inflammatory cells?
focal Fibrous hyperplasia (aka hyperplastic scar)
this is also what periph fibroma is in terms of histo
3 things of a periph fibroma on Histo?
increased collagen
avascular
some chronic inflammatory cells
If you saw a peripheral fibroma, what 2 other things would you include in a DD, and how would you rule them out
pyogenic granuloma (redder)
periph giant cell granuloma (blue)
what is the color of aperipheral fibroma?
normal color of thje tissue
3 things of a FFH on histo
increased...
overlying tissue...
inflammatory cells...
increased collagen
hyperkeratotic overlying tissue
possible sparse chronic inflammatory cells
DD of a FFH
7 things
Tongue - neurilemma, neurofibroma, granular cell tumor
LL/BM - mucocele, lipoma, saliv gland tumor
Benign mesenchymal
Tongue - neurilemma, neurofibroma, granular cell tumor
LL/BM - mucocele, lipoma, saliv gland tumor
Benign mesenchymal

This is the DD of
FFH
cowden's syndrome or Multiple hamartoma syndrome are often associated with multiple of what type of lesion?
focal fibrous hyperplasia
if you were to see many FFH's, what condition would you expect the patient to have?
cowden's syndrome or multiple hamartoma syndrome
causes/modifiers of Generalized Gingival hyperplasia
Local - (3)
hormones (2)
drug - (3)
Disease - (1)
Other - (1)
local - plaque/bact/calculus
hormones - estrogen/testosterone
drug - phenytoin aka dilantin for seizures, cyclosporine for t-cell modulation for transplant/immunodeficient pts, or nifedipine, a Ca-channel blocker for angina/HBP pts
leukemia is the diseae
other - genetic/hereditary conditions
when do you see hereditary-condition-modified generalized gingival hyperplasia?
early childhood
what condition is this?
increased bulki of ginigiva, esp on papilla
rolled/blunted margins, loss of stippling
color can be R/B or lighter
generalized gingival hyperplasia
give 3 characteristics of the apperaence of GGH
increased bulk, esp of Int Dent Papilla
rolled/blunted margins, loss of stipple
color range from R/B to lighter than surrounding
the histology of GGH is charact. by increaseed ____ and ___< and _____chronic inflamamtion, with epithelial_____.
collagen and fibroblast increase
various degrees of chronic inflamamtion
epith hyperplasia
The hormonal type of GGH show what distinct Histological feature?
increased capillaries
the leukemia type of GGH shows what distinct histological feature?
immature WBCs
increased capillaries is a distinct feature of what type of GGH
hormone modified
immature WBC's is a distinct feature of what type of GGH
leukemia