Soft Tissue Lesions

Front 1

Reactive lesion, or 'true' neoplasia? Overgrowth is in response to irritation

Back 1

Reactive lesion

Front 2

Reactive lesion, or 'true' neoplasia? Associated with a stimulus

Back 2

Reactive lesion

Front 3

Reactive lesion, or 'true' neoplasia? Usually inflammation a consistent finding

Back 3

Reactive lesion

Front 4

Reactive lesion, or 'true' neoplasia? Growth continues after stimulus is removed/no stimulus required

Back 4

'true' neoplasia

Front 5

Reactive lesion, or 'true' neoplasia? No regression with normal therapy

Back 5

'true' neoplasia

Front 6

Reactive lesion, or 'true' neoplasia? Unrestricted new growth

Back 6

'true' neoplasia

Front 7

What is the most common 'tumor'/lesion in the oral cavity?

Back 7

Irritation fibroma

Front 8

Where is the most common location to find an irritation fibroma?

Back 8

Buccal mucosa, at the occlusal plane

Front 9

What age group and gender is most often affected by irritation fibromas?

Back 9

40-60 year old females

Front 10

What two colors are irritation fibromas (usually)?

Back 10

1 Pink (same shade as mucosa) 2 White from hyperkeratosis

Front 11

Name 3 histological findings in irritation fibromas.

Back 11

1 Dense CT 2 Inflammatory cells 3 Stratified squamous epithelium

Front 12

What is the term used for an irritation fibroma caused by a denture?

Back 12

Epulis Fissuratum

Front 13

What characterizes Epulis Fissuratum?

Back 13

Long folds of dense CT

Front 14

Name 3 common causes for papillary hyperplasia.

Back 14

1 Ill-fitting dentures 2 Dentures worn 24 hours/day 3 Poor denture hygiene

Front 15

What clinical feature is pathognomonic for Epulis Fissuratum?

Back 15

Raspberry, bubbly, papillary look, usually on hard palate

Front 16

What microorganism is often to blame for Epulis Fissuratum?

Back 16

Candida

Front 17

Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Usually on gingiva, but occur anywhere

Back 17

Pyogenic granuloma

Front 18

Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Bright red color

Back 18

Pyogenic granuloma OR ulcerated peripheral fibroma

Front 19

Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Bleeds easily

Back 19

Pyogenic granuloma

Front 20

Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Painless

Back 20

Pyogenic granuloma and peripheral giant cell granuloma for sure

Front 21

Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Caused by irritation

Back 21

All three

Front 22

Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Develops rapidly

Back 22

Pyogenic granuloma

Front 23

Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? More common in children and young adults

Back 23

Pyogenic granuloma and peripheral fibroma

Front 24

Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Found in pregnant women

Back 24

Pyogenic granuloma

Front 25

Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Female predilection

Back 25

All three

Front 26

Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Histologically has endothelial lined vascular spaces

Back 26

Pyogenic granuloma

Front 27

Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Most common of the three

Back 27

Pyogenic granuloma

Front 28

Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Bluish-purple in color

Back 28

Peripheral Giant Cell Granuloma

Front 29

Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Pink color

Back 29

peripheral fibroma OR Peripheral Giant Cell Granuloma

Front 30

Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Affects individuals around age 30

Back 30

Peripheral Giant Cell Granuloma

Front 31

Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Can only occur on the gingiva

Back 31

Peripheral Giant Cell Granuloma or Peripheral fibroma

Front 32

Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Histologically has CT stroma, mesenchymal cells, and multinucleated giant cells

Back 32

Peripheral Giant Cell Granuloma

Front 33

Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Results from pyogenic granuloma developing over time

Back 33

Peripheral fibroma

Front 34

Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Histologically has dense CT with mineralization (calcified or ossified)

Back 34

Peripheral (ossifying) fibroma

Front 35

What term is used for red vascular tissue growing out of recent extraction site or socket?

Back 35

Epulis Granulomatosa

Front 36

Name the most common oral area to have a lipoma.

Back 36

Buccal mucosa

Front 37

What color is a lipoma?

Back 37

Yellowish

Front 38

What kind of cells are subject to neurolemoma?

Back 38

Schwann cells (it's also called a schwannoma)

Front 39

Are neurolemomas fast or slow-growing?

Back 39

Slow-growing

Front 40

Name the most common oral area to have a neurolemoma.

Back 40

Tongue

Front 41

What soft tissue lesion is associated with Antoni A and B tissue types?

Back 41

Neurolemoma (Schwannoma)

Front 42

What soft tissue lesion is associated with Verocay bodies?

Back 42

Neurolemoma (Schwannoma)

Front 43

Name the most common peripheral nerve neoplasm, which is rare but not uncommon.

Back 43

Neurofibroma

Front 44

What soft tissue lesion is associated with spindle cells, and Mast cells intermingled with neurites?

Back 44

Neurofibroma

Front 45

Name the hereditary/systemic form of neurofibromas.

Back 45

Von Recklinghausen's Disease of the Skin

Front 46

Name two clinical features of Von Recklinghausen's Disease of the Skin.

Back 46

1 Multiple neurofibromas 2 Café au lait spots

Front 47

What 'neoplasm' occurs when a damaged nerve attempts to repair itself?

Back 47

Traumatic neuroma

Front 48

Is a Traumatic neuroma painless or painful?

Back 48

Painful

Front 49

What lesion has the following histology: Neurofibrils and Schwann cells in CT?

Back 49

Traumatic neuroma

Front 50

What is the most common tumor of infancy?

Back 50

Hemangioma

Front 51

What causes a hemangioma?

Back 51

Proliferation of blood vessels

Front 52

What color is a hemangioma?

Back 52

Deep blue (this helps diagnose)

Front 53

If a hemangioma is present as a large, flat lesion of the skin, what term is used?

Back 53

Birthmark

Front 54

If a hemangioma is present as a large, unilateral lesion on the face following the division of the trigeminal nerve, what term is used?

Back 54

Port-wine stain

Front 55

What type of biopsy must be done on a hemangioma: Incisional or excisional?

Back 55

Excisional, because it bleeds profusely with incisional

Front 56

What is "diascopy"?

Back 56

Blanching with pressure

Front 57

A hemangioma (does/does not) blanch with pressure.

Back 57

DOES

Front 58

If a hemangioma is present due to small capillary proliferation, what disease is this?

Back 58

Hereditary Hemorrhagic Telangiectasia (Osler-Weber-Rendu)

Front 59

What disease features Port-wine stian, and maybe convulsive disorders and mental retardation due to calcifications in the brain?

Back 59

Sturge-Weber Syndrome

Front 60

What is more common, hemangioma or lymphangioma?

Back 60

Hemangioma

Front 61

How can you differentiate a lymphangioma from a hemangioma?

Back 61

Lymphangiomas are pink, or colorless, not red.

Front 62

If a lymphangioma is present in the tongue, what syndrome could occur secondarily?

Back 62

Macroglossia

Front 63

Name the most common oral area to have a granular cell tumor.

Back 63

Tongue

Front 64

What lesion has the following histology: Large, granular cells with eosinophils, keratin production, and pseudoepitheliomatous hyperplasia?

Back 64

Granular cell tumor

Front 65

What soft tissue lesion may be confused with carcinoma?

Back 65

Granular cell tumor

Front 66

What disease features fibroma-looking lesion at birth?

Back 66

Congenital Granular Cell Epulis

Front 67

Where is the most common location to find a Congenital Granular Cell Epulis?

Back 67

Maxillary anterior gingiva

Front 68

T/F: Congenital Granular Cell Epulis most commonly affects males.

Back 68

False; the predilection is 90% female, suggesting a hormonal link

Front 69

What disease features rapidly-growing dark, pigmented lesion at birth?

Back 69

Melanotic Neuroectodermal Tumor of infancy

Front 70

What disease is associated with high levels of vanilmadelic acid in the urine?

Back 70

Melanotic Neuroectodermal Tumor of infancy

Front 71

What lesion has the following histology: Mass of cells arranged in a pattern of alveolus-like spaces, lined by cuboidal cells, maybe containing melanin?

Back 71

Melanotic Neuroectodermal Tumor of infancy