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43 Cards in this Set
- Front
- Back
physiological pigmentation is most common in the ____area, in the ____population.
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attached gingiva
african/asian/mediterranean |
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melanocytic lesion, occurs in african/asian/mediterranean
mostly on attached gingiva any age/gender |
physiological pigmentation
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smoker's melanosis occurs in ___% of smokers, esp (M/F)
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20% of smokers
females |
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smoker's melanosis occurs esp in what area
|
anterior labial gingiva
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melanocityc lesion, esp in anterior labial gingiva
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smokers melanosis
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oral melanocitic macules
occur esp in what area? why do they occur (2 reasons) |
vermillion border
idiopathic or part of peutz/addisons (several) |
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melanocytic lesion, occurs on vermillion area, is either idiopathic or part of peutz/addison when multiple are seen.
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oral melanocytic macules
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PEUTZ-jaeghers is a auto___ disorder of the ____gene.
a normal showing is ____, a serious complication is.... |
dominant disorder of LKB1 gene
freckles on hands/perioral/oral polyps in intestine--->gi cancer in 2-3% |
|
autodominant disorder of LKB1 gene
see freckling of palms, perioral/oral freckling also can also have associated intestinal polyps, possibly leading to GI cancer |
peutz-jeghers
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too much MSH/ACTCH from pituitary because decreased cortisol from adrenals is what?
|
adidson
|
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generalized bronzing of skin, fatigue, weak, irritable, weight loss, LBP is what
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addison
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addison is caused by what?
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too much MSH/ACTCH due to decreased cortisol from adrenal
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What is the term for a mole?
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nevus
|
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are nevuses common in oral?
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no
|
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if a nevus was in the mouth where would it be?
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palate
|
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4 types of nevus
between epith and CT |
junctional
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4 types of nevus
encompasses both epith and CT |
compound
|
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4 types of nevus
in CT only, superficial |
intramucosal
|
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4 types of nevus
deep, in CT only |
blue nevus
|
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4 types of nevuses
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junctional
compound intramucosal blue |
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ABCs of oral melanoma
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asymetry
border irregular color varies satellite lesions |
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2 types of oral melanoma
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invasive - vertical growth to CT
in situ - lateral spread only |
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who gets oral melanoma the most?
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asians/blacks
|
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what is the most common oral pigmentation?
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amalgam tatoo
|
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most frequent soft tissue growth of oral?
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squamous papilloma/oral wart
|
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squamous papilloma/oral wart is associated with what 3 HPVs?
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2,,6,11
|
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where are the 2 places most common for oral wart/squamous papilloma
|
palate
vermillion |
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AIDS patients have differeing degrees of sq papilloma/oral wart
what HPV is it associated with if they get DISPLASTIC warts? |
HPV 16/18
|
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Papillary hyperplasia is exclusive to what area?
|
hard palate
|
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whta papillary growth is exlusive to the hard palate?
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papillary hyperplasia
|
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what is the cause of papillary hyperplasia?
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ill-fitting denture
|
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focal epith hyperplasia, aka ____disease, effects what kind of tissue?
|
heck's disease
mucosal membranes |
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hecks disease is also called
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focal epith hyperplasia
|
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is focal epith hyperplasia malignant?
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NO
|
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focal epith hyperplasia is associated with what viruses?
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HPV 13/32
|
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keratoaconthoma is caused by what? 4 things
|
sun
chemical carcinogen HPV trauma |
|
difference between keratoconthoma and SCC?
faster? malignant? progression? |
kerato is faster
scc malignant kerato is self limiting/may regress |
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verrucous carciinoma is what % of all SCCs intraorally
|
5%
|
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5% of all SCCs intraoral are what?
|
verrucous carcinoma
|
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HPV assoc with verrucous carcinoma?
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HPV 16 and 18 (same as the AIDS one)
|
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what area is effected more than 50% of the time by verrucous carcinoma?
30%? |
BM
gingiva |
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2 causes of verricous carcinoma?
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tobacco
HPV 16/18 |
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early on, verrucous carcinoma looks like
|
leukoplakia
papillary sq carcinoma |