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71 Cards in this Set
- Front
- Back
Reactive lesion, or 'true' neoplasia? Overgrowth is in response to irritation
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Reactive lesion
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Reactive lesion, or 'true' neoplasia? Associated with a stimulus
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Reactive lesion
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Reactive lesion, or 'true' neoplasia? Usually inflammation a consistent finding
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Reactive lesion
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Reactive lesion, or 'true' neoplasia? Growth continues after stimulus is removed/no stimulus required
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'true' neoplasia
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Reactive lesion, or 'true' neoplasia? No regression with normal therapy
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'true' neoplasia
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Reactive lesion, or 'true' neoplasia? Unrestricted new growth
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'true' neoplasia
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What is the most common 'tumor'/lesion in the oral cavity?
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Irritation fibroma
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Where is the most common location to find an irritation fibroma?
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Buccal mucosa, at the occlusal plane
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What age group and gender is most often affected by irritation fibromas?
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40-60 year old females
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What two colors are irritation fibromas (usually)?
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1 Pink (same shade as mucosa) 2 White from hyperkeratosis
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Name 3 histological findings in irritation fibromas.
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1 Dense CT 2 Inflammatory cells 3 Stratified squamous epithelium
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What is the term used for an irritation fibroma caused by a denture?
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Epulis Fissuratum
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What characterizes Epulis Fissuratum?
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Long folds of dense CT
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Name 3 common causes for papillary hyperplasia.
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1 Ill-fitting dentures 2 Dentures worn 24 hours/day 3 Poor denture hygiene
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What clinical feature is pathognomonic for Epulis Fissuratum?
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Raspberry, bubbly, papillary look, usually on hard palate
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What microorganism is often to blame for Epulis Fissuratum?
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Candida
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Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Usually on gingiva, but occur anywhere
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Pyogenic granuloma
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Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Bright red color
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Pyogenic granuloma OR ulcerated peripheral fibroma
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Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Bleeds easily
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Pyogenic granuloma
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Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Painless
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Pyogenic granuloma and peripheral giant cell granuloma for sure
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Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Caused by irritation
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All three
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Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Develops rapidly
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Pyogenic granuloma
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Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? More common in children and young adults
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Pyogenic granuloma and peripheral fibroma
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Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Found in pregnant women
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Pyogenic granuloma
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Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Female predilection
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All three
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Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Histologically has endothelial lined vascular spaces
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Pyogenic granuloma
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Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Most common of the three
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Pyogenic granuloma
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Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Bluish-purple in color
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Peripheral Giant Cell Granuloma
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Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Pink color
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peripheral fibroma OR Peripheral Giant Cell Granuloma
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Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Affects individuals around age 30
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Peripheral Giant Cell Granuloma
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Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Can only occur on the gingiva
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Peripheral Giant Cell Granuloma or Peripheral fibroma
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Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Histologically has CT stroma, mesenchymal cells, and multinucleated giant cells
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Peripheral Giant Cell Granuloma
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Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Results from pyogenic granuloma developing over time
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Peripheral fibroma
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Pyogenic granuloma, peripheral giant cell granuloma, or peripheral fibroma (or more than one)? Histologically has dense CT with mineralization (calcified or ossified)
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Peripheral (ossifying) fibroma
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What term is used for red vascular tissue growing out of recent extraction site or socket?
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Epulis Granulomatosa
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Name the most common oral area to have a lipoma.
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Buccal mucosa
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What color is a lipoma?
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Yellowish
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What kind of cells are subject to neurolemoma?
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Schwann cells (it's also called a schwannoma)
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Are neurolemomas fast or slow-growing?
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Slow-growing
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Name the most common oral area to have a neurolemoma.
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Tongue
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What soft tissue lesion is associated with Antoni A and B tissue types?
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Neurolemoma (Schwannoma)
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What soft tissue lesion is associated with Verocay bodies?
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Neurolemoma (Schwannoma)
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Name the most common peripheral nerve neoplasm, which is rare but not uncommon.
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Neurofibroma
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What soft tissue lesion is associated with spindle cells, and Mast cells intermingled with neurites?
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Neurofibroma
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Name the hereditary/systemic form of neurofibromas.
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Von Recklinghausen's Disease of the Skin
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Name two clinical features of Von Recklinghausen's Disease of the Skin.
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1 Multiple neurofibromas 2 Café au lait spots
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What 'neoplasm' occurs when a damaged nerve attempts to repair itself?
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Traumatic neuroma
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Is a Traumatic neuroma painless or painful?
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Painful
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What lesion has the following histology: Neurofibrils and Schwann cells in CT?
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Traumatic neuroma
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What is the most common tumor of infancy?
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Hemangioma
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What causes a hemangioma?
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Proliferation of blood vessels
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What color is a hemangioma?
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Deep blue (this helps diagnose)
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If a hemangioma is present as a large, flat lesion of the skin, what term is used?
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Birthmark
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If a hemangioma is present as a large, unilateral lesion on the face following the division of the trigeminal nerve, what term is used?
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Port-wine stain
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What type of biopsy must be done on a hemangioma: Incisional or excisional?
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Excisional, because it bleeds profusely with incisional
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What is "diascopy"?
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Blanching with pressure
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A hemangioma (does/does not) blanch with pressure.
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DOES
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If a hemangioma is present due to small capillary proliferation, what disease is this?
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Hereditary Hemorrhagic Telangiectasia (Osler-Weber-Rendu)
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What disease features Port-wine stian, and maybe convulsive disorders and mental retardation due to calcifications in the brain?
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Sturge-Weber Syndrome
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What is more common, hemangioma or lymphangioma?
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Hemangioma
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How can you differentiate a lymphangioma from a hemangioma?
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Lymphangiomas are pink, or colorless, not red.
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If a lymphangioma is present in the tongue, what syndrome could occur secondarily?
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Macroglossia
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Name the most common oral area to have a granular cell tumor.
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Tongue
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What lesion has the following histology: Large, granular cells with eosinophils, keratin production, and pseudoepitheliomatous hyperplasia?
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Granular cell tumor
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What soft tissue lesion may be confused with carcinoma?
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Granular cell tumor
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What disease features fibroma-looking lesion at birth?
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Congenital Granular Cell Epulis
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Where is the most common location to find a Congenital Granular Cell Epulis?
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Maxillary anterior gingiva
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T/F: Congenital Granular Cell Epulis most commonly affects males.
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False; the predilection is 90% female, suggesting a hormonal link
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What disease features rapidly-growing dark, pigmented lesion at birth?
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Melanotic Neuroectodermal Tumor of infancy
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What disease is associated with high levels of vanilmadelic acid in the urine?
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Melanotic Neuroectodermal Tumor of infancy
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What lesion has the following histology: Mass of cells arranged in a pattern of alveolus-like spaces, lined by cuboidal cells, maybe containing melanin?
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Melanotic Neuroectodermal Tumor of infancy
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