Neoplasia Part II Flashcards

1
Q

What are the types of tumors of the soft tissue?

A
  • Lipoma
  • Tumors of nerve tissue
  • Tumors of muscle
  • Vascular tumors
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2
Q

What is a lipoma?

A

Benign tumor of mature fat cells
Most commonly located on the buccal mucosa and vestibule

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3
Q

What are the tumors of nerve tissue?

A
  • Neurofibroma and schwannoma
  • Granular cell tumor
  • Gongenital epulis
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4
Q

What are neurofibroma and schwannoma?

A
  • Benign tumors derived from schwann cells in nerve tissue
  • Tongue is most common oral location
  • Can occasionally cause pain
  • Neurofibroma derived from schwann cells
  • Schwannoma derived from schwann cells and perineural fibroblast
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5
Q

What are granular cell tumors?

A
  • Benign tumor composed of large cells w/ a granular cytoplasm
  • Most often on the tongue followed by the buccal mucosa
  • Mostly in adult females
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6
Q

What is congenital epulis?

A
  • Present at birth
  • Benign neoplasm composed of cells closely resembling those seen in the granular cell tumor
  • Appears as a sessile or pedunculated mass on the gingiva
  • Almost always in women
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7
Q

What is the main difference btw a neurofibroma and a schwannoma?

A

Neurofibroma is composed of schwanna cells and perineural fibroblast, schwannoma is just composed of schwann cells

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8
Q

What is the most common place you would find a neurfibroma and schwannoma?

A

The tongue

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9
Q

Which tumor of the nerve tissue is congenital?

A

Congenital epulis

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10
Q

What is a granular cell tumor composed of?

A

Cranular cytoplasm

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11
Q

What are the two types of muscle tumors?

A
  • Extremely uncommon benign tumors
  • Rhabdomyoma- striated muscle
  • Leiomyoma- smooth muscle
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12
Q

What are the types of vascular tumors?

A
  • Hemangioma
  • Lymphangioma
  • Malignant vascular tumors
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13
Q

What is a hemangioma?

A
  • Benign proliferation of capillaries
  • Capillary hemangiom= contains numerous small capillaries
  • Cavernous hemangioma= contains larger blood vessels
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14
Q

What is the most common type of hemangioma?

A

Capillary hemangioma

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15
Q

Characteristics of hemangioma

A

Most are present at birth
Most occur in the head and neck area
Tongue is most common intraoral location
More common in women

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16
Q

What is a lymphangioma?

A
  • Benign tumor of lymphatic vessels
  • Most present at birth
  • Half arise on the head and neck
  • Most common oral location is the tongue
  • Ill-defined mass w/ pebly surface
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17
Q

Malignant vascular tumor

A

Kaposi sarcoma

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18
Q

What is kaposi sarcoma?

A
  • Malignant vascular tumor
  • Occurs on skin and oral mucosa
  • Typically seen in older men
  • More aggressive form seen in HIV
  • Seen as purple macules, plaques or exophytic tumors
  • Most commonly on the hard palate and gingiva
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19
Q

Tumors of melanin-producing cells

A

Melanotic nevi
Malignant melanoma

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20
Q

What are melanocytic nevus?

A
  • Developmental tumor of melanocytes
  • Can arise on skin or oral mucosa
  • Tan-to-brown macules or papules
  • More in women
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21
Q

What are the ABCDE’s of documentation and identifying?

A

A= Asymmetry
B= Border
C= Color
D= Diameter
E= Evolving

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22
Q

What is malignant melanoma?

A
  • Malignant tumor of melanocytes
  • Most due to prolonged exposure to sunlight
  • Rapidly enlarging blue to black mass
  • Aggressive
  • Usually on palate and maxillary gingiva
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23
Q

What is the most common place to see a hemangioma?

A

On teh head and neck area.
Most common intraoral area would be the tongue

24
Q

What would a hemangioma look like clinically?

A

Since it is vascularly derived it would have a bluish-purplish hue and is often raised

25
Q

Lymphangioma is a benign tumor of what vessel?

A

The lymphatic vessels

26
Q

Name a laignant vascular tumor often associated w/ HIV patients?

A

Kaposi sarcoma

27
Q

What is a common used name for a melanotic nevi?

A

Mole

28
Q

Why is it important to document the color, size and shape of a mole?

A

Any type of change could indicate a malignant verion or a melanoma

29
Q

What are the tumors of bone and cartilage?

A

Osteoma
Osteosarcoma
Tumors of cartilage

30
Q

What is an osteoma?

A
  • Asymptomatic, benign tumor composed of benign compact bone
  • Component of Gardner Syndrome
31
Q

What is osteosarcoma?

A
  • Bone cancer that begins in the cells that form bones
  • Malignant tumor of bone forming tissue
  • Most common primary malignant tumor of bone in pts less than 40 years old
  • Twice as frequent in mandible than maxilla
  • More common in men
  • Radiographically: Destructive, poorly defined lesion. Sunburst pattern

5 year life expectancy in 20% of pts

32
Q

Tumors of cartilage

A

Chondroma= benin tumor of cartilage
Chondrosarcoma= malignant tumor of cartilage

5 year life expectancy in 30% of pts

33
Q

Tumors of blood forming tissues

A
  • Leukemia
  • Lymphoma
  • Multiple myeloma
34
Q

Characteristics of leukemia

A

Acute most common in children and young adults
* Is a proliferation of immature white blood cells

Chronic most common in middle-aged adults
* Proliferation of mature white blood cells

35
Q

What is lymphoma (non-hodgkins lymphoma)?

A
  • Malignant tyumor of lymphoid tissue
  • Presents as gradual enlargement of lymph nodes
  • Most common intraorally on the tonsils
  • Usually in adults and more common in men
36
Q

What is multiple myeloma?

A
  • Systematic, malignant proliferation of plasma cells (healthy ones help you fight infection by making antibodies that recognize and attack germs)
  • Mandible more often affected than maxilla
  • Very poor prognosis
37
Q

What is the most frequent intraoral site for a metastatic tumor? How does it appear radiogrphically?

A
  • The mandible
  • Lesions are usually poorly defined and radiolucent
  • Prognosis for people with tumors in the jaw is poor
38
Q

The patient diagnosed with osteoma would have symptoms or no symptoms?

A

No symptoms

39
Q

What i sthe name of a cancere that begins in the cells that form bone?

A

Osteosarcoma

40
Q

Leukemia is an overproduction of what atypical cell?

A

White blood cells

41
Q

What would be a clinical symptom often seen in patients diagnosed with lymphoma?

A

Enlarged tonsils

42
Q

Which cancerous lesion is associated w/ the proliferation of plasma cells?

A

Multiple myeloma

43
Q

What does the term metastatic tumor indicate?

A

Indicates that the cancer has spread from the primary location to other sites in the body

44
Q

What condition is seen here?

A

Metastatic tumor

45
Q

What condition is seen here?

A

Lymphoma

46
Q

What condition is seen here?

A

Chondroma or chondrosarcoma

47
Q

What condition is seen here?

A

Osteosarcoma (sunburst)

48
Q

What condition is seen here?

A

Osteoma (benign)

49
Q

What condition is seen here?

A

Malignant melanoma

50
Q

What is seen here?

A

Melanocytic nevus

51
Q

What condition is seen here?

A

Malignant vascular tumors

52
Q

What condition is seen here?

A

Lymphangioma

53
Q

What condition is seen here?

A

Hemangioma

54
Q

What condition is seen here?

A

Neurofibroma or schwannoma

55
Q

What condition is seen here?

A

Lipoma