pathology final

mucocele

diagnosis?

trauma

most common cause of mucocele

ranula

mucocele on the floor of the mouth

blandin-nuhn

mucocele on ventral tongue

surgical excision

treatment of mucocele

floor of mouth lateral to midline

location of ranula

plunging ranula

painless swelling in floor of the mouth, no epithelial lining and has breached the mylohyoid muscle, diagnosis?

removal of sublingual gland

treatment for plunging ranula

salivary duct cyst (mucus retention cyst)

epithelium lined cavity that arises from the salivary gland

upper lip

most common location for salivary duct cyst

salivary duct cyst

diagnosis?

ranula affects submandibular gland (affects sublingual)

which of the following is false

cheilitis glandularis

diagnosis?

necrotizing sialometaplasia

locally destructive rapidly growing ulcer with necrosis due to inflammation of salivary gland

ischemia

cause of necrotizing sialometaplasia

hard palate

most common location of necrotizing sialometaplasia

necrotizing sialometaplasia

diagnosis?

biopsy (to rule out malignancy)

treatment of necrotizing sialometaplasia

necrotizing sialometaplasia

diagnosis?

nicotine stomatitis

diagnosis?

repeated contact with pipe/cigar

cause of nicotine stomatitis

false

T/F nicotine stomatitis is precancerous

lower lip

most common location of Cheilitis glandularis

sialolithiasis

calcified structures that develops within the salivary duct

submandibular

most common gland affected by SIALOLITHIASIS

sialadenosis

enlargement of salivary gland due to non-infectious cause

bilateral parotid gland

most common gland affected by sialadenosis

stone, systemic condition, or recent surgery

causes of sialadenosis

sialadenitis

acute or chronic inflammation of salivary glands due to infection

sialadenitis

presence of purulent exudate suggests?

lymphoepithelial sialadenitis

an autoimmune disease affecting salivary glands, associated with Sjögren's syndrome

lymphoepithelial sialadenitis

middle aged female with sjogrens disease presents with non-tender swelling of parotid area, likely diagnosis?

sialorrhea

excessive salivation or drooling

clozapine and pilocarpine

medications associated with sialorrhea

trauma

which of the following is SIALADENOSIS NOT associated with:

bulimia

diabetes

alcoholism

trauma

xerostomia

extreme dry mouth

antihistamine, anticholinergic, antidepresants, sedatives, antihypertensive

medications associated with xereostomia

false

T/F Xerostomia exhibits excess saliva

sjogrens syndrome

autoimmune condition that causes xerostomia and keratoconjunctavitis sicca

higher risk of lymphoma (MALT)

which of the following is CORRECT regarding Sjogren Sydrome

frey syndrome/ auriculotemporral syndrome

diagnosis?

frey syndrome

facial flushing and sweating along the distribution of the aurriculotemporal nerve during mastication

damage to nerve/ parotid surgery

cause of frey syndrome

mumps (virral parotitis)

bilateral viral infection of parotid gland due to paramyxovirus

false (auriculotemporal)

T/F frey syndrome is due to damage to trigeminal nerve

sialothiasis

which condition is most likely to show up as a radiopaque mass on an occlusal radiograph

nicotine stomatitis

which condition is characterized by elevated, volcano-like papules with red central dots

sjogrens syndrome

which autoimmune condition is most strrongly associated with bilateral parotid enlargemnt and dry eyes

ranula

which lesion increases in size just before or during meals and may cause neck swelling if plunging

dry eyes

what does keratoconjuctivitis sicca refer to

mucocele

dome shaped bluish lesion on the lower lip of a child is most likely

gustatory sweating

complication of frey syndrome

pilocarpine

all of the following medications would cause xerostomia EXCEPT:

anticholinergic

pilocarpine

antidepressants

antihypertensive

parotid

most common location for salivary gland neoplasm in MAJOR glands

palate

most common location for salivary gland neoplasm of MINOR glands

pleomorphic adenoma (mixed tumor)

most common salivary gland tumor (benign and malignant)

palate

most common site for intraoral pleomorphic adenoma

mucoepidermoid carcinoma

most common malignant salivary gland tumor

mucoepidermoid carcinoma

most common malignant salivary gland tumor in MAJOR glands

adenoid cystic carcinoma

most common malignant salivary gland tumor in MINOR salivary gland

retromolar pad (mucoepidermoid)

most common location of malignant salivary gland tumor

carcinoma

concern with pleomorphic adenoma

parotid gland and palate

most common locations of pleomorphic adenoma

pleomorphic adenoma

salivary tumor with the best prognosis

warthin tumor

BENIGN tumor of PAROTID associated with cigarette smoking and often bilateral

parotid gland

location of warthin tumor

canalicular adenoma

benign salivary gland tumor almost exclusively on UPPER LIP

canalicular adenoma (monomorphic adenoma)

most likely diagnosis of this benign lesion

excision

treatment of canalicular adenoma

mucoepidermoid carcinoma

salivary gland tumor that can have intraosseous tumors

polymorphous adenocarcinoma

2nd most common minor salivary gland malignancy

adenoid cystic carcinoma

most common malignancy of the submandibular gland

adenoid cystic carcinoma

presents with perineural invasion, PAIN, and “swiss cheese” histological appearance

adenoid carcinoma

which neoplasm presents with pain

adenoid cystic carcinoma

CBCT showed bone destruction, diagnosis?

canalicular adenoma

what is the diagnosis

mucoepidermoid carcinoma

what is the diagnosis

mucocele

diagnosis?

nicotine stomatitis

what is the diagnosis

necrotizing sialometaplasia

what is the diagnosis

ranula

what is the diagnosis

sialolithiasis

what is the diagnosis

sjogren syndrome

what is the diagnosis

pleomorphic adenoma

slowly growing lesion, been present for over 10 year, What is the diagnosis?

traumatic neuroma

a reative proliferation due to damage to the nerve

near mental foramen

most common location of traumatic neuroma

irritation fibroma

most common soft tissue lesion in oral cavity

irritation fibroma

reactive hyperplasia of fibrous connective tissue due to irritation

cheek

most common location of irritation fibroma

surgical excision

treatment of irritation fibroma

surgical excision

treatment of traumatic neuroma

giant cell fibroma

papillary tumor with sessile or peduculated base sometimes mistaken for papilloma

giant cell fibroma

occurs in younger age group, diagnosis?

inflammatory fibrous hyperplasia/ epulis fissuratum

reactive folds is fibrous connective tissue associated with flanges of ill fitting or over extended dentures

inflammatory fibrous hyperplasia/ Epulis fissuratum

diagnosis?

inflammatory papillary hyperplasia/ denture papillomatosis

reative response of palatal mucosa due to ill fitting denture, poor hygiene, or wearing dentures 24 hours/day

inflammatory papillary hyperplasia

diagnosis?

peripheral ossifying fibroma (POF)

exclusively on gingiva, reactive gingival overgrowth

peripheral ossifying fibroma

diagnosis?

peripheral giant cell granuloma

reddish-purple sessile mass exclusively on gingiva, cupping resorption of underlying bone