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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
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4 micro subtypes of peripheral fibromas are
2 - peripheral ossifying fibroma |
- some ossifications, ulceration possible
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4 micro subtypes of peripheral fibromas are
3 - giant cell fibroma |
stellate shaped cells,
often on retro-cuspid papilla |
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4 micro subtypes of peripheral fibromas are
4 - peripheral odontogenic fibroma |
odonto epitheleal cells
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what type of peripheral fibroma micro subtype is this?
shows odontogenic epithelieal cells |
peripheral odontogenic fibroma
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what type of peripheral fibroma micro subtype is this?
- some ossifications, ulceration possible |
peripheral ossifying fibroma
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what type of peripheral fibroma micro subtype is this?
just fibrous tissue - increased collagen, avascular, some chronic inflammatory cells |
focal fibrous hyperplasia
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what type of peripheral fibroma micro subtype is this?
stellate shaped cells, often on retro-cuspid papilla |
giant cell fibroma
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what type of peripheral fibroma is the one most likely to reoccur after excision?
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peripheral ossifying fibroma
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what does it mean if a peripheral fibroma is Pinker? if its redder?
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pinker - more collagen, more pale
redder - more well vascularized granulation tissue |
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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 |
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3 things of a periph fibroma on Histo?
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increased collagen
avascular some chronic inflammatory cells |
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If you saw a peripheral fibroma, what 2 other things would you include in a DD, and how would you rule them out
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pyogenic granuloma (redder)
periph giant cell granuloma (blue) |
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what is the color of aperipheral fibroma?
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normal color of thje tissue
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3 things of a FFH on histo
increased... overlying tissue... inflammatory cells... |
increased collagen
hyperkeratotic overlying tissue possible sparse chronic inflammatory cells |
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DD of a FFH
7 things |
Tongue - neurilemma, neurofibroma, granular cell tumor
LL/BM - mucocele, lipoma, saliv gland tumor Benign mesenchymal |
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Tongue - neurilemma, neurofibroma, granular cell tumor
LL/BM - mucocele, lipoma, saliv gland tumor Benign mesenchymal This is the DD of |
FFH
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cowden's syndrome or Multiple hamartoma syndrome are often associated with multiple of what type of lesion?
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focal fibrous hyperplasia
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if you were to see many FFH's, what condition would you expect the patient to have?
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cowden's syndrome or multiple hamartoma syndrome
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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 |
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when do you see hereditary-condition-modified generalized gingival hyperplasia?
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early childhood
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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
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give 3 characteristics of the apperaence of GGH
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increased bulk, esp of Int Dent Papilla
rolled/blunted margins, loss of stipple color range from R/B to lighter than surrounding |
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the histology of GGH is charact. by increaseed ____ and ___< and _____chronic inflamamtion, with epithelial_____.
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collagen and fibroblast increase
various degrees of chronic inflamamtion epith hyperplasia |
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The hormonal type of GGH show what distinct Histological feature?
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increased capillaries
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the leukemia type of GGH shows what distinct histological feature?
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immature WBCs
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increased capillaries is a distinct feature of what type of GGH
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hormone modified
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immature WBC's is a distinct feature of what type of GGH
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leukemia
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