Exam 3 Soft Tissue Tumors (No effect) Flashcards

1
Q

Where does carcinoma and sarcoma originate from and indicates

A

A malignant tumor of epithelial origin and sarcoma which indicates a malignant tumor of Connective tissue origin.

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2
Q

What are the difference between carcinoma and sarcoma?

A
  • Carcinomas are 10 times more common than sarcomas
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3
Q

Where does carcinoma metastaize?

A

Lymphatic system

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4
Q

Where does sarcomas metastasize?

A

Circulatory system

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5
Q

Tumors of soft tissue include?

A
  • benign and malignant tumors of adipose (fat) tissue, nerve, muscle, blood, and lymphatic
    vessels.
  • But it is not completely independent from
    bone
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6
Q

Benign Tumors of Fibrous CT are?

A
  • Reactive hyperplasias the most common
  • Result from overzealous repair
  • Composed of collagen, endothelial cells,cementum and/or bone, or giant cells
  • If on the gingiva and you don’t know its exact histological nature, it’s called an EPULIS
  • Common lesions include the Fibroma, Ossifying fibroma, Pyogenic granuloma, and Giant cell granulomas
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7
Q

What is a Fibroma ?

A
  • Also called irritation or traumatic fibroma
  • Occurs in response to chronic trauma like cheek biting
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8
Q

What is fibroma composed of ?

A

dense scar-like CT with lots of collagen fibers and few blood vessels.

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9
Q

How does Fibroma appear?

A

appears as a domelike growth with smooth surface and normal color

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10
Q

What is the treatment of fibroma?

A

Excision- but will not resolve spontaneously due to excess collagen

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11
Q

What is Epulis Fissuratum?

A

A type of Irritation fibroma

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12
Q

What is epulis fissuratum caused by?

A

Ill fitting dentures

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13
Q

What is a frenal tag?

A
  • Hyperplastic fibrous tissue
  • Small finger like projection
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14
Q

What is the frenal tag treatment?

A

Does not require treatment

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15
Q

What is ossifying fibroma?

A

A reactive hyperplasia found on the gingiva

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16
Q

Where does ossifying fibroma origininates from?

A

From the PDL where

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17
Q
A

Fibroma

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18
Q
A

Epulis Fissuratum

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19
Q
A

Ossifying Fibroma

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20
Q

What is pygogenic granuloma?

A
  • Fast Growing
  • Occurs as exuberant granulation to irritation
  • Appears Fiery red, bleeds easily
  • Pregnancy Tumors- second and third trimesters
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21
Q
A

pygogenic granuloma/ pregnancy tumor

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22
Q

Giant Cell Granuloma is ?

A
  • Ulcerated, bleeding
  • Occus on the gingiva
  • Reactive hyperplasia
  • Develops in response to an irritant
  • Younger patient, most common in females
  • Chronic inflammatory cells seen, multinucleated giant cells- along with well vascularozed CT
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23
Q
A

Giant Cell Granuloma

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24
Q

What type of Giant Cell Granuloma occurs in the gingiva?

A

Peripheral Giant Cell Granuloma

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25
Q

What type of giant cell granuloma occurs with the bone?

A

Central Giant Cell Granuloma

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26
Q

What are Lipoma ?

A
  • A benign neoplasm of normal fat cells
  • Feels soft on palpation
27
Q
A

Lipoma

28
Q

What is Hemangioma?

A
  • A proliferation of capillaries
  • Present at birth or arise soon after
  • Color is red-blue or purple
29
Q
A

Hemangioma

30
Q
A

Hemangioma

31
Q

What is Lymphangioma?

A
  • Benign proliferation of lymphatic vessels
  • Oral site: Tongue
  • Present at birth
32
Q
A

Lymphangioma

33
Q
A

Hemangioma

34
Q

What is Osteoma ?

A
  • A benign Tumor of normal-appearing compact bone
  • Well defined radiopacity
  • Endosteal: withinbone
  • Periosteal attache to outter bone
35
Q
A

Osteoma

36
Q

What is fibrosarcoma?

A
  • A malignant lesion of fibroblasts
  • Firm to palpation and fixed adajacent tissue
37
Q
A

Fibrosarcoma

38
Q

What is Kaposi Sarcoma ?

A

A unique angiosarcoma seen as classic kaposi sarcoma in elderly men or those with HIV

39
Q
A

Kaposi Sarcoma

40
Q
A

Kaposi Sarcoma

41
Q
A

Kaposi Sarcoma

42
Q

What is a osteosarcoma?

A
  • Most Common malignant tumor of bone
  • Average age 37
  • Most common site: jawbones
  • Swelling- painful
  • Tooth mobility
43
Q
A

Osteosarcoma

44
Q

What is a Chondrosarcoma?

A
  • Uncommon malignant bone lesion
  • Peak age: 30-40 years of age
  • Occurs in Anterior maxilla, premolar areas of the mandible
  • 5 year survival rate- 30%
45
Q
A

Chondrosarcoma

46
Q
A

Chondrosarcoma

47
Q

What is Lymphoma?

A
  • Malignant Tumor of Lymphoid tissue
  • Clinical staging determines prognosis
48
Q

What are the 3 types of lymphoma?

A

Hodgkins Lymphoma
Non-Hodgkins lymphoma
Burkitt Lymphoma

49
Q

Hodgkins Lymphoma is a?

A
  • Malignant tumor
  • REED-STERNBERG cell is linked to Epstein Bar Virus infection
  • Common in 15-35 years old
50
Q

Non- Hodgkins Lymphoma

A
  • 70% of lymphomas
  • No Reed-sternberg cells seen
  • B-cells in older age group
51
Q

Burkitt Lymphoma

A
  • Associated with epstein barr virus- w/ AIDS
  • First seen young children in Africa
52
Q

What are the Signs of lymphoma?

A
  • Cervical nodes- enlarges
  • Low grade fever and night sweats
  • liver spleen, maxillary and inguinal nodes
  • Seen with HIV
53
Q
A

Lymphoma

54
Q
A

Lymphoma

55
Q

Describe Multiple Myeloma

A
  • Neoplasm of B- Lymphocytes
  • Located within the bone, multiple skeletal sites
  • Seen later in life 70s
  • Stimulates toothache
    *
56
Q
A

Multiple Myeloma

57
Q

What is Neuroma?

A

A hyperplasia resulting when damages nerve attempts to reunite with severed portion

58
Q

Neurofibroma and Schwannoma

A

Benign neoplasms of schwann cells

59
Q
A

neurofibroma

60
Q
A

schwannoma

61
Q

What is another name for Von Recklinghausen disease/ Elephant man

A

Multiple Neurofibromatosis

62
Q
A

Multople neurofibromatosis/ Elephant man

Maligant Nerve tumor

63
Q

What are Tumors of Muscle

A
  • Rhabdomyoma (Benign)- striated muscle
  • Common site on the tongue
  • Rhabdomyosarcoma (Malignant)- seen in periorbital tissue of children
64
Q
A

Rhabdomyoma