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71 Cards in this Set

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