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
What type of giant cell granuloma occurs with the bone?
Central Giant Cell Granuloma
26
What are Lipoma ?
* A benign neoplasm of normal **fat** cells * Feels **soft** on palpation
27
Lipoma
28
What is Hemangioma?
* A proliferation of **capillaries** * Present at birth or arise soon after * Color is red-blue or purple
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Hemangioma
30
Hemangioma
31
What is Lymphangioma?
* Benign proliferation of **lymphatic vessels** * Oral site: Tongue * Present at birth
32
Lymphangioma
33
Hemangioma
34
What is Osteoma ?
* A benign Tumor of normal-appearing **compact bone** * Well defined radiopacity * Endosteal: withinbone * Periosteal attache to outter bone
35
Osteoma
36
What is fibrosarcoma?
* A malignant lesion of fibroblasts * **Firm** to palpation and fixed adajacent tissue
37
Fibrosarcoma
38
What is Kaposi Sarcoma ?
A unique **angiosarcoma** seen as classic kaposi sarcoma in elderly men or those with HIV
39
Kaposi Sarcoma
40
Kaposi Sarcoma
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Kaposi Sarcoma
42
What is a osteosarcoma?
* **Most** Common malignant tumor of bone * Average age 37 * Most common site: jawbones * Swelling- painful * Tooth mobility
43
Osteosarcoma
44
What is a Chondrosarcoma?
* 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
Chondrosarcoma
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Chondrosarcoma
47
What is Lymphoma?
* Malignant Tumor of **Lymphoid** tissue * Clinical staging determines prognosis
48
What are the 3 types of lymphoma?
Hodgkins Lymphoma Non-Hodgkins lymphoma Burkitt Lymphoma
49
Hodgkins Lymphoma is a?
* Malignant tumor * **REED-STERNBERG** cell is linked to Epstein Bar Virus infection * Common in 15-35 years old
50
Non- Hodgkins Lymphoma
* 70% of lymphomas * **No** Reed-sternberg cells seen * B-cells in older age group
51
Burkitt Lymphoma
* Associated with epstein barr virus- w/ AIDS * First seen young children in Africa
52
What are the Signs of lymphoma?
* Cervical nodes- enlarges * Low grade fever and night sweats * liver spleen, maxillary and inguinal nodes * Seen with HIV
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Lymphoma
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Lymphoma
55
Describe Multiple Myeloma
* Neoplasm of B- Lymphocytes * Located within the bone, multiple skeletal sites * Seen later in life 70s * Stimulates toothache *
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Multiple Myeloma
57
What is Neuroma?
A hyperplasia resulting when damages nerve attempts to reunite with severed portion
58
Neurofibroma and Schwannoma
Benign neoplasms of schwann cells
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neurofibroma
60
schwannoma
61
What is another name for Von Recklinghausen disease/ Elephant man
Multiple Neurofibromatosis
62
Multople neurofibromatosis/ Elephant man | Maligant Nerve tumor
63
What are Tumors of Muscle
* Rhabdomyoma (Benign)- striated muscle * Common site on the tongue * Rhabdomyosarcoma (Malignant)- seen in periorbital tissue of children
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Rhabdomyoma