3 Lec 18 (Exam 3): Malignant diseases of the jaws

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19 Terms

1

ill-defined

describe the periphery of this lesion:

<p>describe the periphery of this lesion:</p>
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2

radiolucent

MOST malignant lesions radiographically show up _______

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3

floating teeth

what affect do malignant tumors have on tooth support?

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4

widening

what affect do malignant tumors have on the PDL space?

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5

spiked resorption pattern

what affect do malignant tumors have on tooth roots?

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6

destruction

what affect do malignant tumors have on the IAN?

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7

destruction

what affect do malignant tumors have on tooth corticla boundries?

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8

Squamous Cell Carcinoma

patient's radiograph shows, ill-defined, radiolucency on anterior mandible. Teeth appear to be "floating" due to bone destruction. PDL spaces of those roots are widened. What is the diagnosis?

<p>patient's radiograph shows, ill-defined, radiolucency on anterior mandible. Teeth appear to be "floating" due to bone destruction. PDL spaces of those roots are widened. What is the diagnosis?</p>
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9

Squamous Cell Carcinoma

patient's radiograph shows, defined radiolucent lesion on the posterior mandible. IAN canal appears destroyed. Posterior teeth appear to be "floating" due to bone destruction.There is sudden mobility of #30, 31 for 1 month. There is no clinical evidence of peridontal disease. Patient experiences a dull ache. What is the diangosis?

<p>patient's radiograph shows, defined radiolucent lesion on the posterior mandible. IAN canal appears destroyed. Posterior teeth appear to be "floating" due to bone destruction.There is sudden mobility of #30, 31 for 1 month. There is no clinical evidence of peridontal disease. Patient experiences a dull ache. What is the diangosis?</p>
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10

Osteosarcoma

patient's radiograph shows the following:

•Garrington sign (widened PDL space)

•Ragged, ill-defined radiolucent/paque mixed area

•'sun ray' periosteal reaction

- spiked root resorption pattern

What is the diagnosis?

<p>patient's radiograph shows the following:</p><p>•Garrington sign (widened PDL space)</p><p>•Ragged, ill-defined radiolucent/paque mixed area</p><p>•'sun ray' periosteal reaction</p><p>- spiked root resorption pattern</p><p>What is the diagnosis?</p>
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11

Osteosarcoma

ID the pathology:

<p>ID the pathology:</p>
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12

Osteosarcoma

ID the pathology:

<p>ID the pathology:</p>
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13

Osteosarcoma

ID the pathology:

-Lesion in left ramus, body

-Ill defined periphery

-Calcifications noted

-Expansion of ramus

-IAN destroyed

<p>ID the pathology:</p><p>-Lesion in left ramus, body</p><p>-Ill defined periphery</p><p>-Calcifications noted</p><p>-Expansion of ramus</p><p>-IAN destroyed</p>
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14

Osteosarcoma

ID the pathology:

- Non-healing extraction site

- Ill-defined

- radioluceny, mixed

- resorption of roots

-distruction of lamina dura

<p>ID the pathology:</p><p>- Non-healing extraction site</p><p>- Ill-defined</p><p>- radioluceny, mixed</p><p>- resorption of roots</p><p>-distruction of lamina dura</p>
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15

Multiple Myeloma

what is the most common malignancy in seniors/older patients?

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16

Plasmocytoma

Singular lesion version of Multiple Myeloma

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17

Multiple Myeloma

Metastatic lesions

These malignancy presents with multiple punched-out lesions of the scull:

<p>These malignancy presents with multiple punched-out lesions of the scull:</p>
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18

Multiple Myeloma

ID the pathology:

•Well defined , non-corticated, circular/oval radiolucent areas ('punched out' lesions)

•Lacks signs of bone reaction

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19

Multiple Myeloma

ID the pathology:

<p>ID the pathology:</p>
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