Oral Path Soft & Hard Tissue Enlargements

Front 1

What causes a traumatic neuroma?

Back 1

Nerve trauma, (near the mental nerve)

Front 2

Is their pain in palpation with traumatic neuroma?

Back 2

Yes

Front 3

What type of "injuries" cause traumatic neuroma?

Back 3

Extractions -->be aware of mouth mirror & fulcrum placement

Front 4

What are some DD's of traumatic neuroma?

Back 4

Neurofibroma, fibroma TX: remove lesion

Front 5

What is the most common site for a traumatic neuroma?

Back 5

Mental Foramen

Front 6

What is the most common soft tissue tumor of the oral cavity?

Back 6

Fibroma

Front 7

What usually causes a fibroma?

Back 7

Trauma or irritation-->lip biting, rubbing from missing tooth, dentures

Front 8

If a fibroma were just starting, how would you Tx it?

Back 8

Remove the irritant, otherwise needs to be excised. *Encourage Pt not to bite/play with lesion.*

Front 9

What is the most common site for a fibroma?

Back 9

The buccal mucosa along the occlusal line.

Front 10

In denture wearers, what is the "term" for a fibroma?

Back 10

Epulis Fissuratum (Dentures pinching the tissue)
May be a longer strip of tissue in this case.

Front 11

How is a peripherial ossifying fibroma different from a fibroma?

Back 11

Rougher papillary surface,
Surface is often ulcerated,
Larger surface area, "Glossy"-->located on attached gingiva.
Well Circumscribed

Front 12

Microscopically, what will you see if looking at a peripherial ossifying fibroma?

Back 12

Bone and cementum deposits within the connective tissue.

Front 13

What is a ranula and where will you find it?

Back 13

A LARGE swelling of the sublingual or submandibular salivary glands on the floor of the mouth.
(Same as a mucocele but much larger)

Front 14

Is a ranula usually unilateral or bilateral?

Back 14

Unilateral

Front 15

What is the main cause of a ranula?

Back 15

A blocking of the salivary gland.

Front 16

How would you describe a ranula?

Back 16

Fluid filled (salivary fluid), tissue colored, possibly blueish hue

Front 17

Define mumps

Back 17

A unilateral swelling of the parotid glands that lifts the earlobe. **Lifting the earlobe is the classic sign.**

Front 18

Why are we seeing more cases of the mumps?

Back 18

Pt may not have their immunizations.

Front 19

What symptoms will Pt describe with the mumps?
How is it spread?

Back 19

Flu like symptoms.
Mumps is spread via saliva-->don't see Pt.

Front 20

What is another name for neurilemoma?

Back 20

Schwannoma

Front 21

What is neurilemoma?

Back 21

A benign, slow growing neoplasm.

*Tends to be painless & encapsulated. Could be deadly if left untreated.*

Front 22

What is the most common site for a Schwannoma?

Back 22

The tongue, but can occur anywhere.

Front 23

What is a neurofibroma?

Back 23

Benign neoplasm from Schwann cells
(Slow growing, painless mass)

Front 24

What is the most common site for a neurofibroma?

Back 24

Buccal mucosa and tongue.
*Could come from ill-fitting dentures.*

Front 25

Do you refer a Pt with neurofibroma?

Back 25

Yes, could be a symptom of some disease.

Front 26

What can a neurofibroma look like or be confused with?

Back 26

Fistula (depending on its location)
A Fibroma is usually firm however

Front 27

What is neurofibromatosis?

Back 27

An inherited disease of the skin.

Front 28

What is another name for Neurofibromatosis?

Back 28

Von Recklinghausen's disease of the skin

Front 29

What are the classic signs of Neurofibromatosis?

Back 29

Café au lait spots, often have multiple neurofibromas

Front 30

When does Von Recklinghausen's disease of the skin usually begin?

Back 30

Childhood and progresses from there.
*Classic symptom is the cafe au lait spots.*

Front 31

If you see a Pt presenting with symptoms of neurofibromatosis, what key question might you ask to determin the condition you're looking at?

Back 31

Does anyone in your family have this condition?

Front 32

How do you Tx Von Recklinghausen's?

Back 32

Manage the signs, no real treatment available
*One of the most common genetic disorders*

Front 33

Related to Von Recklinghausen's, what might you see in the eyes and what is it called?

Back 33

Freckling of the eyes called Lisch Nodules

Front 34

How can Neurofibromatosis affect dental care?

Back 34

Can make dental care difficult due to nodules in the oral cavity-->looks like Chrones disease.

Front 35

What is Rhabdomyosarcoma? *KNOW THIS for BOARDS*

Back 35

A rapidly growning malignant tumor of the striated muscle.

Front 36

What does Rhabdo mean?

Back 36

striated muscle..know this for boards!

Front 37

Who is usually impacted by Rhabdomyosaracoma?

Back 37

Children under 15 (per text)

Front 38

Where are the Rhabdomysarcoma tumors usually found?

Back 38

In the head and neck area
**Orbital area is most common**

Front 39

What is the most common salivary gland cancer?
*Know This*

Back 39

Mucoepidermoid Carcinoma

Front 40

Which salivary glad is usually impacted by mucoepidermoid carcinoma?

Back 40

Parotid Gland

Front 41

What is the typical Tx of mucoepidermoid carcinoma and what is the result of it?

Back 41

Removal of the parotid gland…leads to xerostomia

Front 42

In addition to mucoepidermoid carcinoma, what are some other salivary gland lesions?

Back 42

Ranula
Mucocele
Siolith
Mumps

Front 43

Wht is lymphangioma?

Back 43

A congenital malformation of lymphatic vessels

Front 44

What are the most common sites for lymphangioma?

Back 44

Head n Neck

Front 45

What is the most common intra-oral site of lymphangioma?

Back 45

The anterior 2/3's of the tongue

Front 46

What is the look of lymphangioma?

Back 46

Pebbly look w/bluish color

Front 47

What can happen when you palpate a lymphangioma?

Back 47

The lymphatic fluid can make a sound-->crepitus

Front 48

What is a term for an enlarged tongue?

Back 48

Macroglossia

Front 49

What is the name of a branchial cleft cyst?

Back 49

Cervical lymphoepithelial cyst

Front 50

Where is a cervical lymphoepithelial cyst located? (What muscle etc)

Back 50

On the anterior border of the sternocleidomastoid muscle

Front 51

What does a cervical lymphoepithelial cyst feel like?

Back 51

Soft, wave like feeling-->it can be indulated

Front 52

What is the most common developing cyst of the neck?

Back 52

Thyroglossal track cyst
(Tends to be non tender and mobile)

Front 53

Where in the neck is a thyroglossal track cyst found and what age group is most impacted?

Back 53

Midline of the neck Found mostly in children.

Front 54

What is chronic osteomyelitis?

Back 54

In inflammatory response of the periosteum R/T infection or irritants

Front 55

Radiographically, what is the look of chronic osteomyelitis?

Back 55

Onion Skin

Front 56

What is being inflamed in chronic osteomylitis?

Back 56

Bone or Bone Marrow (Due to infection)

Front 57

Does chronic osteomyelitis tend to be unilateral or bilateral?

Back 57

Unilateral *Usually seen in young people*

Front 58

What is another "most common" odontogenic tumor?

Back 58

Ameloblastoma
*Odontoma is the other "most common" one.*

Front 59

What is the apperance of ameloblastoma?

Back 59

Soap Bubble look.
*Can cause death if in the Mx due to expansion.*

Front 60

What is another name for a Pindborg tumor?

Back 60

Calcifying Epithelial Odontogenic Tumor CEOT

Front 61

How does a Pindborg tumor look radiographically?

Back 61

Can show calcifications

Front 62

What is the origin or a CEOT?

Back 62

Odontogenic-->benign tumor

Front 63

Who is usually impacted by Ossifying fibroma?

Back 63

Females 30-40

Front 64

Where is an ossifying fibroma usually located?

Back 64

Premolar & molar region

Front 65

Radiographically, what is the look of ossifying fibroma?

Back 65

A well defined radiolucency w/sclerotic borders. Calcification may be present

Front 66

Who is most impacted by Central Giant Cell Granuloma?

Back 66

Females under 20

Front 67

Which bone is most common to see central giant cell granuloma?

Back 67

Mandible
*SORRY couldn't find a MN picture*

Front 68

In addition to the jaw, where might central giant cell granuloma be foune?

Back 68

In Long bones

Front 69

What is the key look of central giant cell granuloma?

Back 69

Expansion of the bone *Mobile teeth is also key*
*Pay attention when Pt's are telling you their teeth are moving.*

Front 70

What would soft tissues looklike in central giant cell granuloma?

Back 70

blue-purple with a flat type of nodule.

Front 71

What is the most common primary type of malignant tumor of the bone?

Back 71

Osteosarcoma

Front 72

What does an osteosarcoma usually look like radiographically?

Back 72

Sunburst or Spiking

Front 73

Who is most impacted by Osteosaracoma?

Back 73

Men age 35

Front 74

What is chondrosarcoma?

Back 74

Malignant tumors of the cartilage

Front 75

What is the 2nd most frequently occuring primary saracoma of bone?

Back 75

Chondrosaracoma

Front 76

What age group is usually impacted by chondrosarcoma?

Back 76

30-40 year olds

Front 77

If a chondrosarcoma is in the Mx, what can be happening in the body?

Back 77

Nasal obstruction