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D2 Spring > Oral Path Exam 3 - Soft Tissue Masses > Flashcards

Oral Path Exam 3 - Soft Tissue Masses Flashcards

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1
Q

What is the tissue of origin?

Arises from epithelium (surface)

A

Epithelial

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2
Q

What is the tissue of origin?

White, red, or mixed

A

Epithelial

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3
Q

What is the tissue of origin?

Smooth, rough, or papillary

A

Epithelial

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4
Q

What is the tissue of origin?

Arises from CT (deeper)

A

Mesenchymal

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5
Q

What is the tissue of origin?

Mass under normal-appearing epithelium

A

Mesenchymal

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6
Q

What is the tissue of origin?

Often smooth looking

A

Mesenchymal

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7
Q

What lesion?

Caused by reactive hyperplasia of fibrous tissue in response to trauma

A

Fibroma

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8
Q

What lesion?

Most common “tumor” of the oral cavity

A

Fibroma

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9
Q

What lesion?

Smooth-surfaced pink nodule similar in color to surrounding mucosa

A

Fibroma

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10
Q

What lesion?

Sessile or pedunculated

A

Fibroma

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11
Q

What lesion?

Common on buccal mucosa, labial mucosa, tongue, and gingiva

A

Fibroma

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12
Q

What lesions? (6)

Diagnosed by biopsy and tx is excisional biopsy

A

Fibroma
Peripheral ossifying fibroma
Pyogenic granuloma
Peripheral giant cell granuloma
Inflammatory fibrous hyperplasia
Mucocele

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13
Q

What lesion?

Cause is uncertain, but understood to be a reactive process

A

Peripheral ossifying fibroma

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14
Q

What lesions?

Female predilection

A

Peripheral ossifying fibroma
Pyogenic granuloma

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15
Q

What lesion?

Nodular, red/pink mass

A

Peripheral ossifying fibroma

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16
Q

What lesions?

May have ulcerated surface (yellow)

A

Peripheral ossifying fibroma
Pyogenic granuloma

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17
Q

What lesion?

Occurs ONLY on gingiva

A

Peripheral ossifying fibroma

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18
Q

What lesions? (3)

Tx = remove any local irritants like plaque and calculus

A

Peripheral ossifying fibroma
Pyogenic granuloma
Peripheral giant cell granuloma

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19
Q

What lesion?

Should see bone after excising the entire lesion

A

Peripheral ossifying fibroma

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20
Q

What lesions? (4)

Can recur

A

Peripheral ossifying fibroma
Pyogenic granuloma
Peripheral giant cell granuloma
Mucocele

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21
Q

What lesion?

Will feel hard, will sometimes feel a little crunch when biopsying

A

Peripheral ossifying fibroma

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22
Q

What lesion?

Exuberant tissue response to local irritation, poor hygiene, or hormonal factors

A

Pyogenic granuloma

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23
Q

What lesion?

Often develops in pregnant women

A

Pyogenic granuloma

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24
Q

What lesion?

Smooth or lobulated pink/red/purple mass

A

Pyogenic granuloma

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25
What lesion? Can show rapid growth
Pyogenic granuloma
26
What lesion? Most common site is gingiva, but can also occur on lips, tongue, and buccal mucosa
Pyogenic granuloma
27
What lesion? Reactive lesion caused by local irritation/trauma
Peripheral giant cell granuloma
28
What lesion? Red/blue nodular mass
Peripheral giant cell granuloma
29
What lesion? Occurs ONLY on gingiva and edentulous alveolar ridge
Peripheral giant cell granuloma
30
What lesion? May produce "cupping" resorption of alveolar bone
Peripheral giant cell granuloma
31
The vast majority of "bumps on the gums" will be one of which 4 diagnoses?
"Plain" fibroma Peripheral ossifying fibroma Pyogenic granuloma Peripheral giant cell granuloma (the 4 P's)
32
What lesion? Tumor-like hyperplasia of inflamed fibrous CT
Inflammatory fibrous hyperplasia
33
What lesion? Often secondary to ill-fitting dentures
Inflammatory fibrous hyperplasia
34
What lesion? Firm folds of hyperplastic tissue
Inflammatory fibrous hyperplasia
35
What lesion? Can be pedunculated (leaf-like) or nodular
Inflammatory fibrous hyperplasia
36
What lesion? Most often found in alveolar vestibule
Inflammatory fibrous hyperplasia
37
What lesion? Remove source of irritation
Inflammatory fibrous hyperplasia
38
What lesion? Rupture of salivary gland duct and spillage of mucin
Mucocele
39
What lesion? Dome-shaped swelling
Mucocele
40
What lesion? Often bluish hue
Mucocele
41
What lesion? Fluctuant to firm texture
Mucocele
42
What lesion? Can rupture, release fluid, and recur
Mucocele
43
What lesion? Most commonly found on lower labial mucosa
Mucocele
44
What lesion? Salivary gland neoplasms can mimic this lesion, so it is important to biopsy
Mucocele
45
What lesion? May heal spontaneously
Mucocele
46
What lesion? Tx = excisional biopsy and removal of feeding salivary glands
Mucocele
47
What lesion? Mucocele occurring on the floor of the mouth
Ranula
48
What lesion? Deposition of calcium salts around nidus of debris in salivary duct
Sialolith
49
What lesion? Hard submucosal mass
Sialolith
50
What lesion? Radiopaque mass on X-Ray
Sialolith
51
What lesion? Can cause episodic pain
Sialolith
52
What lesion? Often in submandibular duct system, upper lip, or buccal mucosa
Sialolith
53
What lesion? Diagnosed by clinical and radiographic presentation
Sialolith
54
What lesion? Tx = massage out of duct, stimulate salivary flow, apply moist heat, and surgical intervention
Sialolith
55
What lesion? Reaction to infection (viral, bacterial, fungal)
Reactive lymphadenopathy
56
What lesion? Common in all age groups
Reactive lymphadenopathy
57
What lesion? Enlarged, tender lymph nodes that are mobile upon palpation
Reactive lymphadenopathy
58
What lesion? Accompanying symptoms of infection (fever, sore throat, fatigue)
Reactive lymphadenopathy
59
What lesion? Diagnosed by clinical presentation, lab tests, and biopsy if persistent
Reactive lymphadenopathy
60
What lesion? Tx = often self-limiting, resolves w/ tx of underlying conditions
Reactive lymphadenopathy
61
Function = recognize and process foreign antigens (viral, bacterial, fungal)
Lymphoid tissues
62
Lymphoid tissues respond to ___________ challenges
antigenic
63
Lymphoid cells proliferate, causing what?
Lymphoid hyperplasia
64
What are the head and neck locations of lymphoid tissues?
1. Cervical lymph nodes 2. Lymphoid tissue of Waldeyer's Ring (tonsils) 3. Scattered lymphoid aggregates (oropharynx, soft palate, lateral tongue, floor of mouth)
65
What lesion? Caused by direct spread from a primary cancer (metastasis) or lymphoproliferative disorders (lymphoma, leukemia)
Lymphadenopathy secondary to malignancy
66
What lesion? Firm, non-tender lymph nodes
Lymphadenopathy secondary to malignancy
67
What lesion? May feel fixed or matted to underlying tissue
Lymphadenopathy secondary to malignancy
68
What lesion? Typically unilateral
Lymphadenopathy secondary to malignancy
69
What lesion? May have "B" symptoms (night sweats, fever, weight loss)
Lymphadenopathy secondary to malignancy
70
What lesion? Diagnosed by imaging, lab tests, and biopsy
Lymphadenopathy secondary to malignancy
71
What lesion? Tx = treat underlying malignancy
Lymphadenopathy secondary to malignancy
72
What lesions? Caused by caries, perio disease, trauma
Palatal abscess Parulis
73
What lesion? Soft tissue swelling on hard palate
Palatal abscess
73
What lesion? Caused by accumulation of acute inflammatory cells
Palatal abscess
74
What lesions? Associated w/ a non-vital tooth
Palatal abscess Parulis
75
What lesion? Often painful
Palatal abscess
76
What lesions? Diagnosed by vitality test and X-Ray (periapical radiolucency)
Palatal abscess Parulis
77
What lesions? Tx = treat source of infection with RCT or extraction; if extraction, submit soft tissue removed for histologic examination
Palatal abscess Parulis
78
What lesions? Monitor for improvement
Palatal abscess Parulis
79
A soft tissue mass on the lip with a “bluish” appearance is most likely a...?
Mucocele
80
What lesion? Caused by inflammatory cells that perforate through epithelium and drain through intraoral sinus
Parulis
81
What lesion? Yellow-red nodule on gingiva or in vestibule
Parulis
82
What lesion? Usually asymptomatic
Parulis
83
Which of the following is ONLY found on the gingiva? Peripheral ossifying fibroma Pyogenic granuloma Fibroma Mucocele
Peripheral ossifying fibroma
84
What category? Fibroma
Injury
85
What category? Peripheral ossifying fibroma
Injury
86
What category? Pyogenic granuloma
Injury
87
What category? Peripheral giant cell granuloma
Injury
88
What category? Inflammatory fibrous hyperplasia
Injury
89
What category? Mucocele
Injury
90
What category? Sialolith
Injury
91
What category? Lymphadenopathy
Infectious Neoplastic
92
What category? Palatal abscess
Infectious
93
What category? Parulis
Infectious
94
What category? Lymphoid aggregate
Developmental

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