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43 Cards in this Set

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