Chapter 10 Lecture 2

Question 1

What is the oral counterpart to ephelis?

Answer 1

-Oral melanotic macule

Question 2

What is the most common site of an oral melanotic macule?

Answer 2

-Labial melanotic macule

Question 3

What population do you see oral melanoacanthoma almost exclusively in?

Answer 3

-African Americans

Question 4

What is the most common site of oral melanoacanthoma?

Answer 4

-Buccal mucosa

Question 5

T/F Oral melanoacanthoma lesions increase rapidly in size

Answer 5

-True

Question 6

What is nevus known as?

Answer 6

-Mole

Question 7

What is the most common of all adult tumors?

Answer 7

-Acquired melanocytic nevus

Question 8

What is the most common place for an intra oral nevus?

Answer 8

-Palate

Question 9

If a brown pigment is raised in the oral cavity on the palate what are you thinking?

Answer 9

-Intraoral melanocytic nevus

Question 10

Superficial nevus cells will be organized into small round aggregates termed what?

Answer 10

-Theques

Question 11

What is a mole that is present at birth known as?

Answer 11

-Congenital melanocytic nevus

Question 12

What is a large congenital nevus called?

Answer 12

• Bathing trunk nevus

- Garment nevus

Question 13

What is a melanocytic nevus with a surrounding pale hypopigmented border known as?

Answer 13

-Halo Nevus

Question 14

What is the old name of spitz nevus and is a solitary nodule usually 6 mm or smaller?

Answer 14

-Juvenile melanoma

Question 15

What are the two forms of Blue nevus?

Answer 15

• Common

- Cellular

Question 16

What is an uncommon benign proliferation of dermal melanocytes?

Answer 16

-Blue nevus

Question 17

What is the 2nd most frequent melanocytic nevus encountered in the oral cavity?

Answer 17

-Blue nevus

Question 18

What is the blue color of a blue nevus due to?

Answer 18

-Tyndall effect

Question 19

What is the most common location of an oral blue nevus?

Answer 19

-Palate

Question 20

What is an intraoral white plaque that does not rub off and cannot be identified as any well known entity?

Answer 20

-Leukoplakia (pre-malignant lesion)

Question 21

What are three key points of leukoplakia?

Answer 21

• Intraoral white plaque
• Does not rub off
• Cannot be identified

Question 22

What are white lesions that can be scrape off?

Answer 22

• Materia alba
• White coated tongue
• Burn
• Pseudomembranous candidiasis
• Sloughing from toothpaste

Question 23

Why are the white lesions white?

Answer 23

-Because something such as keratin, microbial colony, scar tissue, necrosis blocks the “redness” of the underlying vascular tissue

Question 24

What can cause a leukoplakia?

Answer 24

• Tobacco
• Alcohol
• Sanguinaria
• UV radiation
• Microorganisms
• Trauma

Question 25

What is a white patch caused from smokeless tobacco?

Answer 25

-Tobacco pouch keratosis

Question 26

What product can cause a leukoplakia in the maxillary vestibule?

Answer 26

-Sanguinaria

Question 27

What microorganisms can cause a leukoplakia like lesion?

Answer 27

- Treponema pallidum | - Candida albicans

Question 28

What type of trauma can cause a leukoplakia like lesion?

Answer 28

- Nicotine stomatitis | - Frictional keratosis

Question 29

Where are most leukoplakias found?

Answer 29

- Lip vermilion - Buccal mucosa - Gingiva

Question 30

What are the high risk sites for leukoplakias?

Answer 30

- Lip vermilion - Lateral/ventral tongue - Floor of mouth

Question 31

What are red and white intermixed lesions termed?

Answer 31

- Erythroleukoplakia | - Speckled leukoplakia

Question 32

What is a special high-risk form of leukoplakia?

Answer 32

-Proliferative verrucous leukoplakia

Question 33

What is proliferative verrucous leukoplakia characterized by?

Answer 33

-Multiple keratotic plaques with roughened surface projections

Question 34

What is hyperkeratosis?

Answer 34

-Thickened keratin layer

Question 35

What is hyperparakeratosis?

Answer 35

- No granular cell layer | - Nuclei are retained

Question 36

What is hyperorthokeratosis?

Answer 36

- Granular cell layer | - Nuclei are lost

Question 37

What is Acanthosis?

Answer 37

-Thickened spinous layer

Question 38

What is mild dysplasia?

Answer 38

-Alterations are limited to the lower 1/3

Question 39

What is moderate dysplasia?

Answer 39

-Alterations are limited to the lower 1/2

Question 40

What is severe dysplasia?

Answer 40

-Alterations are present above the lower 1/2

Question 41

What is carcinoma in situ?

Answer 41

-Alterations are present throughout epithelium

Question 42

What is a red patch that cannot be diagnosed as any other condition?

Answer 42

-Erythroplakia

Question 43

T/F True erythroplakias are never completely benign

Answer 43

True

Question 44

What are the most common locations for erythroplakias?

Answer 44

- Floor of mouth - Ventral tongue - Soft palate

Question 45

What does smokeless tobacco cause?

Answer 45

-Smokeless tobacco keratosis

Question 46

What is BANS?

Answer 46

Areas of bad prognosis for melanoma