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77 Cards in this Set
- Front
- Back
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leukoplakia -most common oral precancer |
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leukoplakia |
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leukoplakia *lip vermilion, buccal mucosa, gingiva |
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early/thin leukoplakia |
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homogeneous/thick leukoplakia |
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granular leukoplakia (invasive SCC) |
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verruciform leukoplakia (well differentiated SCC) |
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benign alveolar ridge keratosis |
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smokeless tobacco keratosis |
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smokeless tobacco keratosis *SCC is most common malignancy resulting from this *also verrucous carcinoma (she says) |
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severe smokeless tobacco keratosis -first you'll get perio disease -then you'll get caries -then tissue will dry out (tell them to change spot) |
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mild smokeless tobacco keratosis |
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nicotine stomatitis -not premalignant -develops in response to heat -palatal mucosa -men 45+ |
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nicotine stomatitis -reversible (these are salivary ducts) |
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leukoedema -unknown cause -darkly pigmented patients (AA) -diffuse, gray-white, milky, opalescent appearance of the mucosa -folded wrinkles |
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leukoedema
-bilateral buccal mucosa extending forward -stretch cheek, lines go away -epithelial cells have a lot of fluid in them |
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leukoedema -very common/variation of normal |
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linea alba -2nd most common oralmucosal pathosis -may be scalloped -usually bilateral |
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Morsicatio Buccarum (chronic cheek chewing) -Thickened,shredded, white areas combined with intervening zones of erythema, erosion orfocal traumatic ulceration |
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Morsicatio Linguarum (tongue chewing) |
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aspirin burn -very thin white sloughing |
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aspirin burn |
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hydrogen peroxide burn -skin will peel off -long-term use |
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silver nitrate burn -usually you use to stop bleeding -lightly tap where it's bleeding or else you will burn off normal tissue |
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silver nitrate burn |
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formocresol burn -in peds they may use this to burn off pulp in kids to do partial pulpotomy |
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exfoliative cheilitis -younger patients -constantly licking lips -scaling/flaking of lips |
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actinic cheilosis -premalignant alteration of lower lip (SCC) -UV exposure |
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lichen planus (wickham's striae) -immunologically mediated -Hep C associated -associated skin lesions (purple, pruritic papules) |
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reticular LP -no symptoms -Oral mucosal surfaces –lateral and dorsal tongue, gingiva, palate and vermillion border -White lesions appear aspapules |
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reticular LP -ask if patient has any other itching lesions -vulvar mucosa, glans penis, nails |
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lichenoid contact stomatitis -amalgam hypersensitivity |
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lichenoid contact stomatitis |
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drug reaction to tetracycline (lichenoid drug reaction) |
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drug reaction to tetracycline -focal -white in lips |
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erythema migrans geographic tongue benign migratory glossitis -completely benign -immune reaction -looks like psoriasis -may have burning tongue |
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erythema migrans geographic tongue -can come and go -move from place to place |
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geographic tongue |
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geographic tongue -anterior 2/3 dorsal tongue -well demarcated zones |
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squamous papilloma -benign proliferation of stratified squamous epithelium -induced by hpv (6,11) |
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squamous papilloma -soft palate, tongue, lips -painless, pedunculated, cauliflower -low risk hpv -not an STD |
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squamous papilloma -IT WILL RECUR |
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verruca vulgaris -this is a skin wart; not common in mouth |
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verruca vulgaris -Whenoral mucosa is involved sites include vermillion border,labial mucosa and anterior tongue -contagious |
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condyloma acuminatum (venereal wart) -this is an STD -high risk HPV -Oral lesions occurmost frequently on labial mucosa, soft palate and lingual frenum |
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condyloma acuminatum (venereal wart) -monitor patient for cervical or oropharyngeal cancer |
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pseudomembranous (thrush) candidiasis -buccal mucosa, palate, dorsum of tongue -cottage cheese -unpleasant taste -painful -as result of long-term antibiotics |
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hyperplastic candidiasis -hyperkeratotic lesion -anteriorbuccal mucosa |
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hyperplastic candidiasis |
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hairy leukoplakia -due to EBV -lateral tongue -white streaks, corrugated surface -immunosuppressed host -swollen lymph nodes |
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hairy tongue -Elongated,hyperkeratotic filiform papillae on tongue dorsum producing a “furred” to“hairy” texture |
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oral submucous fibrosis -Chronic,scarring high-risk precancerous condition of oral mucosa -Reduction of tobacco does not reduce likelihood ofdeveloping oral submucousfibrosis -linked to betel nut -mucosal rigidity! |
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oral submucous fibrosis |
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white sponge nevus -genetic (defect in keratinization) -Symmetrical, thickened,white, corrugated or velvety, diffuse plaques affect buccal mucosa bilaterally -looks like cheek biting (but no habit) -ask if family members have it |
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proliferative verrucous leukoplakia -high risk form of leukoplakia -rarely regress -females -leathery -most of time just genetic |
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PVL |
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verrucous carcinoma (snuff dippers cancer) -low grade SCC -doesn't mets -better to get verrucous than scc |
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verrucous carcinoma (snuff dippers cancer) -may develop from PVL |
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fordyce's granules (ectopic sebaceous glands in the oral mucosa and vermilion of lip) |
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fordyce's granules |
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lymphoid tissue -yellow balloon-like -lymphoid chains are around tonsils and base of tongue |
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ectopic lymphoid tissue |
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lymphoepithelial cyst -FOM, ventral/lateral tongue -normal/accessory sites -small yellow/white swellings |
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parulis/gum boil |
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lipoma -buccal mucosa and vestibule -rare recurrence |
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(acute) pseudomembranous candidiasis -when you scrape off, leave red bleeding mucosa |
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chronic candidiasis (erythematous) |
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chronic candidiasis (erythematous) |
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smuff dipper's pouch |
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idiopathic leukoplakia (don't know what causes it-no habit) -could be nutrition, smoking, alcohol, unknown |
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-lichen planus (ask about any other skin lesions) -lichenoid drug reaction (investigate med history) |
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reticular LP |
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cutaneous LP
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erosive LP
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atrophic LP |
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frictional hyperkeratosis |
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-tongue chewing -hairy leukoplakia |
