Appearance of benign and malignant pathology

Question 1

clinical signs and symptoms of malignancy in oral cavity

Answer 1

leukoplakia/ erythroplakia/ erythroleukoplakia
non healing socket
non healing ulcer
unusually mobile tooth
swelling
lymphadeopathy
pain
numbness

Question 2

other signs and symptons of malignancy

Answer 2

weight loss ‘ B symptom’
night sweats ‘B symptom’
problems moving tongue
dysphagia
dysphonia
loss of hearing
pathological fracture

Question 2

radiographic signs of malignancy

Answer 2

moth eaten bone
non healing sockets
floating teeth
unusual periodontal bone loss
spiculated periosteal reaction
unusual uniform widening of pdl space
generalised loss of lamina dura
loss of boney outlines of anatomical features
thinning of cortico-endosteal margin
spiking root resorption

Question 3

is rapidly increasing size, is the pathology more likely to be malignant or not

Answer 3

yes - more likely agressive/malignant

Question 4

what may lack of cortication represent

Answer 4

healing lesion
superimposed infection

Question 5

what is moth eated radiolucent bone with no margin good or bad prognostic sign

Answer 5

bad prognostic sign

Question 6

benign vs malignant effect on other structures

Answer 6

benign - will displace anatomical structures due to slow growth
malignant - destroy anatomical structures

Question 7

effects on teeth

Answer 7

spiking root resorption
generalised widening of the pdl space
generalised loss of lamina dura

Question 8

what is osteosarcoma

Answer 8

Osteosarcoma is a type of bone cancer that is the most common primary bone cancer, especially in children and young adults.

Question 9

what is multiple myeloma

Answer 9

Multiple myeloma is a cancer that develops from a type of white blood cell called a plasma cell

Question 10

radiographic features of multiple myeloma

Answer 10

round
radiolucent
punched out
well defiend, non corticated
large lesions can lead to pathological fracture

Question 11

differential diagnosis for moth eaten bone

Answer 11

osteomyelitis
osteoradionecrosis
medication related osteonecrosis of the jaws