Flashcards in Pathology of the mouth/esophagus Deck (33):
What are the 3 Ms of a pathological HSV specimen/
2. Margination of the nucleus
3. Molding of the nucleus
What cells does HSV infect?
What are the features of cytomegalovirus?
What types of cells does CMV infect?
endothelial and mesenchymal cells
What does mucormycosis look like?
ONLY broad bulbous hyphal forms that are at 90 degree angles
Benign lobular capillary hemangioma
self-resolution. Canker sore
A white, hard, firm plaque. We worry that this will turn malignant.
Hairy leukoplakia: benign or malignant? What is it associated with?
Benign. Seen in HIV pts assoc'd with EBV infection.
What will you see on a hairy leukoplakia specimen?
hyperkeratosis, balloon cells, and acanthosis
What is squamous cell carcinoma assoc'd with?
smoking, alcohol, and HPV
In which salivary glands are neoplasms most likely to be malignant?
What are two types of benign salivary gland tumors?
What are three types of malignant salivary gland tumors?
Acinic cell carcinoma
Adenoid cystic carcinoma
What types of cells do you see in a pleomorphic adenoma? Where are they most commonly found?
epitheial and myoepithelial. Found in the parotid gland
What are you worried about with a pleomorphic adenoma of the salivary gland?
Malignant transformation has a poor prognosis
Where would you find a warthin tumor?
What are the two components of a warthin tumor?
epithelial and lymphoid
What is the most common malignant tumor of the salivary gland?
What are the two types of cells in a mucoepidermoid malignant tumor?
mucus secreting and squamous
What is a typical finding in a adenoid cystic carcinoma?
Which of these salivary neoplasms has the best survival?
In what conditions would you see an esophageal web?
Plummer vinson syndrome. Usually in women over 40
What are the components of plummer vinson syndrome?
5. Upper esophagus carcinoma
What is a mallory-Weiss tear? How would it present?
Laceration at the GEJ. Will see forceful vomiting
What is Boerhaave syndrome?
Esophageal rupture. Catastrophic
In which patients would you see esophageal varices?
cirrhotic pts (90%!)
What are the two types of esophageal carcinoma?
Squamous cell carcinoma and adenocarcinoma
What kind of carcinoma does Barrett's esophagus give rise to?
What are the criteria for Barrett's esophagus?
1. Endoscopic evidence of columnar epithelium
2. Intestinal metaplasia (goblet cells)
-->The presence of goblet cells defines barrett esophagus
How do you treat a platient with BE?
Routine surveillance and biopsy.