Oral path 3 FINAL

salivary duct cyst, salivary gland tumor (canalicular or pleomorphic adenoma) , nasolabial cyst

lesions more commonly found on the UPPER LIP

mucocele, SCC, mucoepidermoid carcinoma (salivary gland tumor)

lesions more commonly found on the LOWER lip

canalicular adenoma

MONOMORPHIC adenoma of UPPER lip found in individuals over 60 y/o

pleomorphic adenoma

MIXED tumor of UPPER lip found more common in individuals under 40

nasolabial cyst

swelling of upper lip ALWAYS LATERAL to MIDLINE

canalicular adenoma/monomorphic adenoma

asymptomatic UPPER LIP lesion almost exclusively in minor salivary glands, MIDLINE or LATERAL

salivary gland tumor and nasolabial cyst

if there is a swelling on the LATERAL side of the UPPER lip what is on your DDx

true

T/F if there is a swelling on the MIDLINE of the UPPER lip NASIOLABIAL cyst can be excluded in DDx

surgical excision

Treatment for nasolabial cyst or salivary gland tumor <2cm

incisional biopsy before excision

Treatment for nasolabial cyst or salivary gland tumor >2cm

pleoomorphic adenoma

MOST COMMON BENIGN salivary gland tumor

mucocele

LOWER lip lesion in CHILDREN due to TRAUMA

fibroma

LOWER lip lesion due to REACTIVE process with smooth pink surface

pyogenic granuloma

LOWER lip lesion in YOUNG individualls, that is normally MOST COMMONLY FOUND ON GINGIVA

salivary duct cyst has epithelial lining

MICROSCOPIC difference between salivary duct cyst and mucocele

mucocele more common in KIDS and due to trauma

CLINICAL difference between salivary duct cyst and mucocele

lower (mucoepidermoid carcinoma)

MALIGNANT salivary gland tumor are more commonly found on the _____ lip

caliber persisent artery (CPA)

linear PULSITLE elevation on labial mucosa most common of UPPER lip

none

managment of CALIBER perrsistent artery

SCC

LOWER lip lesion due to chronic sun exposure

incisional biopsy followed by surgical excision

treatment for SCC of the lip

lip

do SCC of lip or oral cavity have BETTER PROGNOSIS?

pyogenic granuloma can occur on the lip

which of the following statments is TRUE

lipoma (mesenchymal tumor)

yellowish swelling on BUCCAL mucosa

traumatic neuroma

reactive mesenchymal tumor in buccal mucosa due to trauma

pleomorphic adenoma

most common salivary gland tumor

mucoepidermoid carcinoma

most common malignant salivary gland tumor

pleomorphic adenoma is a benign salvivary gland neoplasm

which of the following statement is CORRECT?

fibroma, abscess (parulis), pyogenic granuloma (PG), peripheral ossifying fibroma (POF), peripheral giant cell granuloma (PGCG)

most common GINGIVAL lesions

periapical abscess/parrulis

ACTIVE infection, presents with PAIN on PERCUSSION

sinus tract (fistula)

connection between abcess on gingiva and infected tooth

inflammatory fibrous hyperplasia (epulis fisuratum)

reactive (hyperplastic) folds of tissue associatd with ILL-FITTING DENTURE

surgical excision and remake denture

treatment for inflammatory fibrous hyperplasia (epulis fisuratum)

peripheral giant cell granuloma (PGCG)

lesion EXCLUSIVELY on GINGIVA, might show CUPPING RESORPTION of underlying bone

peripheral ossifying fibroma

reactive lesions EXCLUSIVELY on GINGIVA, HIGH RECURRRENCE rate

pyogenic granuloma/pregnancy tumor

reactive lesion that most commonly occurs on GINGIVA but can occur on other sites

epulis granulomatosis

pyogenic granuloma in extraction socket

gingival cyst of adults

painless blue swelling in mandibular canine and premolar regions of ADULTS

gingiva

most common SOFT tissue location of METASTATIC DISEASE

lung, breast, colon, renal, prostate

most common metastatic disease orgins

peripheral ossifying granuloma occurs on the buccal mucosa

all the following are true EXCEPT:

ranula/mucocele, sialolith, salivary duct cyst, SCC

most common swellings on FLOOR of mouth

ranula

SUBLINGUAL gland lesion LATERAL to midline, increases in size during meals

sublingual

which gland is RANULA associated with

salivary duct cyst

epithelial lined cavity in ADULTS, more commonly found on UPPER LIP but can occur in FOM

sialolith

radiopaque calcified structure most common found associated with SUBMANDIBULAR GLAND

surgical removal including minor salivary gland

treatment for MUCOCELE

dermoid cyst/ teratoma

FOM swelling usually in the MIDLINE

lateral border is a low risk site for SCC

which of the following is FALSE

pleomorphic adenoma, mucoepidermoid carcinoma, adenocystic carcinoma

salivary gland neoplasms that can occur on the PALATE

adenoid cystic carcinoma

MALIGNANT salivary gland lesion that commonly occur on palate, can cause PAIN

kaposi sarcoma

malignant neoplasm of ENDOTHELIAL cells assoiciates with AIDS/HHV-8

non-hodkin lymphoma

BOGGY swelling caused by lymphocyte malignancy

nasopalatine duct cyst

MOST COMMON NON-NEOPLASTIC swelling on PALATE

nasopalatine duct cyst

heart shaped lesion in midline of anterior maxilla

cyst of incisive papilla

occurs ony on soft tissue, between max incisors

abcess

pt presents with pain on percussion, biting or palpitaion

torus palatinus

exophytic growth of normal compact bone on hard palate

none (unless inference w/ denture)

treatment for torus palatinus

necrotizing sialometaplasia

locally destructive inflammatorry condition of salivary gland that can mimic malignancy

nasopalatal duct cyst

a heart shaped radiolucency between #8 and #9 is most likely:

dental abscess

which of the following PALATAL lesions would most likely be seen on a dental clinical practice?

neurofibromas

benign neural neoplasm of skin, can be associated with NF1

neurofibromatosis type 1/ von recklinghausen disease of skin

what do you want to rule out with neurofibromas?

neuroma

benign neural neoplasm associated with MULTIPLE NEUROENDOCRINE NEOPLASIA types 2B (MEN2B)

peripheral giant cell granuloma

all the following can present as multiple lesiosn EXCEPT:

squamous papilloma and condyloma acuminatum

lesions associates with HPV 6 and 11

squamous papilloma

most COMMON oral HPV lesion

verruca vulgaris

HPV 2 lesion in CHILDREN thats contagious

condyloma acuminatum

HPV 6 and 11 lesion with sessile base and multiple papules, most commonly on LABIAL MUCOSA

multifocal epithelial hyperplasia

HPV 13 and 32 lesion in CHILDREN and INDIGENOUS papulations

none (spontaneous resolution)

treatmemt for multifocal epithelial hyperplasia

verruxiform xanthoma (VX)

painless papillary/pebbly lesion in ADULTS of unkown cause

inflammatory papillary hyperplasia (IPH)

benign reactive lesion often caused by illfitting dentures, CANDIDA

giant cell fibroma

pedunculated or sessile nodule in YOUNGER age group

verrucous carcinoma

low grade oral SCC, can be caused by smokeless tobacco or PVL

squamous papilloma

HPV lesion most commonly seen in dental practice

phenytoin (dilantin), leukemia, perio, scurvy

causes for generalized gingival hyperplasia

cyclosporine, Ca channel blockers (nifedipine, verapamil), birth control, dilantin (phynytoin)

medications that can cause gingival hyperplasia

thyroid gland enlargment (hyperthyroidism), thyroglossal duct cyst, dermoid cyst, plunging ranula

DDx for MIDLINE neck masses

cat scratch disease, infectious mono, TB, malignacy, lipoma, brachial cleft cyst

DDx for LATERAL neck masses

thyroglossal duct cyst

mass moves up and down when swallowing

hyperthyroidism

swelling in neck, more common in FEMALES

plunging ranula

mucin filled mass that disects mylohyoid muscle

medication

treatment for hyperthyroidism

malignancy

firm, immobile lymph nodes indicate:

metastatic disease

which of the following neck lesions typically occurs in the lateral side of the neck

nifedipine

which of the following is a BP medication that can cause GINGIVAL HYPERPLASIA

squamous cell carcinoma

54 year old male, slowly enlarging, painless submucosal mass on right upper lip, present for past 3 years. which is LEAST likely to be in DDx:

gingival cyst

27 year old, pregnant woman w/ 2cm erythematous nodule on facial gingiva betweeen #8 and #9. slowly growing and causing separation of teeth. which is NOT in the diagnosis

metastatic disease

61 y/o man, gingival mass near tooth #19 causing pain numbness and bone destruction. What do you want to rule out?

pleomorphic adenoma

50 y/o man, large swelling on right palate causing mild discomfort. lesion is encapsulated with no bone detuction. which of the following in the most likely diagnosis:

mucoepidermoid carcinoma

kaposi sarcoma

pleomorphic adenoma

non-hogkin lymphoma

neurofibroma (not papillary)

47 y/o woman, asymptomatic papillary lesion on laterral border of tongue. which is NOT in the differential diagnosis:

verruca vulgaris

neurofibroma

squamous papilloma

condyloma acuminatum

reactive

whatt is the most likely ORIGIN of the lesion

peripheral ossifying fibroma (indicated by calcifications)

what is the most likely diagnosis

mucoepidermoid carcinoma

what is the most likely diagnosis?

warthins tumor

benign salivary gland tumor of the PAROTID gland

tongue

from what location was the lesion most likely excised

associated with alcohol

which of the following best describes HPV-negative oropharyngeal carcinoma:

more common in females

increasing incidence

associated with alcohol

better prognosis that HPV-positive

pleomorphic adenoma (most common on palate and parotid)

which of the following is LEAST likely the cause of this patient’s symptoms:

rhabdomyoma

pleomorphic adenoma

schwannoma

leiomyoma