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a red friable mass of proliferating capillaries covered by intact or ulcerated squamous epithelium. |
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Bleeds easily, also called pregnancy tumor, after some time they become less vascular and can resemble a fibroma |
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Red and ulcerated on the gingiva |
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Definition
Peripheral ossifying fibroma |
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Protrudes from the outer surface of the gingiva. Composed of fibrous stroma with numerous multinucleated giant cells mixed with chronic inflammatory cells |
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Definition
Peripheral Giant cell Granuloma (Epulis) |
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Canker sores. Caused by stress, spicy foods, fever |
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Single/multiple, painful ulcers of the oral mucosa with underlying infiltrate of mononuclear cells |
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Inflammation of the tongue, atropy, thinning papillae, shallow ulcerations |
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Caused by nutritional deficiencies of B12, Riboflavin, niacin, Pyridoxine, iron |
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Blisters/vesicles that might be small or large forming a bullae filled clear, serous fluid that may rupture and produce ulcers |
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Heal in 3-4 weeks but virus lays dormant in Trigeminal Ganglia |
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Epidermal cells undergoing "blooming" degeneration because the cells become swollen and degenerate. Cell have intranuclear inclusions |
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Term
GIANT CELLS REVEALED WITH A TZANCK SMEAR |
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White, fluffy, hyperkeratotic patches in oral cavity |
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Lesions caused by HIV,EBV, HPV, in immunosuppressed. If HIV positive full blown AIDS after 2-3 years |
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Oral manifestations also occur in measles, infectious mononucleosis, lichen planus, and leukemia |
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Chronic irritation, smoking, alcohol. Usually found on buccal mucosa, tongue, floor of mouth. Must do a biopsy to diagnose these conditions |
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Presents as a white patch, hyperkeratosis, mononuclear infiltrates, acanthosis, ++ cellular atypica |
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red, velvety patch, mononuclear infiltrates, +++ cellular atypia, thus associated with higher risk of malignancy |
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5% of all malignant tumors. Most common site is on the lip and anterior tongue. Spreads to submandibular nodes then upper jugular nodes. |
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Appears as an irregular, roughened mucosal surface that later grows into a cauliflower like growth with an ulcerated surface. Surface is nodular. |
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Infiltrates underlying ct. Can be well differentiated (keratin, intracellular bridges) or poorly differentiated. |
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Highly differentiated variant of squamous cell carcinoma affecting 60-70 y/o. Does not metastasize, low cellular atypia. White, warty, fungating, patch with bulbous retes |
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Benign tumor of squamous epithelium on the buccal mucosa, gingiva, lips and tongue; HPV is implicated cause |
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Most common Cyst of oral cavity. Related to necrosis of dental pulp due to infection. Attached to the roots of the tooth buds |
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Derived from misplaced tooth buds |
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Otogenic Epithelium, usually in the mandible, a locally aggressive tumor with common reoccurrence and rare metastasis. |
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Occurs with painless swelling, well defined cysts on XR. Micro: Central core of stellate reticulum. Destroys bone and adjacent structures so it must be removed |
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Necrotizing inflammation in the blood vessels, especially arterioles. May affect lungs and kidney at it may occur as part of a systemic disease but localize to nasal cavity. Destruction of nose and sinuses |
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Ulceration of bacterial infection leads to granulomatous inflammation. Regarded as a extranodal T-cell lympoma that destroys the midline masses in the nasopharynx causing deformities |
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Composed of masses of polygonal cells with fibrous stroma |
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Definition
Transitional cell carcinoma |
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A mixture of lymphoid elements with malignant epithelial cells |
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Most common malignant tumor in the nasalpharynx(china, africa) in male 20's. |
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Genetic association, dietary due to nitrosamine in salted fish. Associated with EBV |
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Anaplastic tumor that is highly malignant, metastasizes first to the lymph nodes, then lungs,pleura, liver. Very radiosensitive |
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Only affects adolescent males, benign tumor that causes nasal obstruction and unexplained nosebleeds without trauma |
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Definition
Nasopharyngeal Angiofibroma |
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Grows downward,. Has a risk of turning into squamous cell papilloma, which is different from normal papilloma that grows outwards which wouldn't become malignant |
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Occurs as apart of the inflammatory process in the respiratory tract. Important in children and infants because marked exudation or edema can cause laryngeal obstruction |
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Nodules on the vocal cords. Can be Sessile or predunculated. Common in males, heavy smokers, or singers |
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Neoplasm of viral origin (HPV 6,11) Malignancy is rare. Finger like projections of fibrous tissue covered by squamous epithelium |
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Tumors more common in males, smokers, or those exposed to asbestos. |
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Common on vocal cords, epiglottis, or aryepiglottic region. Intrinsic remains inside larynx, extrensic is outside |
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Patients develop progresive hoarseness of voice, pain, dysphasia, hemptysis and secondary infection |
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NECK: Anteriolateral cyst, fibrous tissue, lineed with squamous/pseudostratified epithelium |
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NECK: midline cyst, fibrous tissue, lined with squamous/respiratory epithelium |
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THe most common viral infection of the salivary glands |
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Autoimmune disorder affecting females, with keratojunctivitis sicca, xerostomia, and arthritis |
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CD4 T CELLS WITH RF, ANA, antibodies. Increased risk of other autoimmune disorders and lymphoma in glands |
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Bilateral swelling of salivary and lacrimal glands with xerostoma. Due to TB, leukemia, lymphoma, sarcoidosis |
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Most common tumor of salivary glands (85%) |
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Most common tumor of parotid gland. Lobulated mass with outpouchings or satellite nodules. slow growing and asymptomatic |
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Benign and slow growing tumor seen in older males of the parotid gland. papillary projections and eosinophilic cytoplasm |
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Definition
Papillary Cystadenoma Lymphomatosum (Adenolymphoma, Warthin tumor) |
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MOst common malignant tumor of parotid gland. Low grade, well differentiated tumor. |
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Definition
Mucoidepidermal Carcinoma |
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Slow growing tumor more common in younger females. May be encapsulated but microscopically invasive. cells resemble le acini of parotid gland |
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Usually affects minor salivary glands in middle aged ppl. HAs the affinity to invade nerves, which is why patients presenting with this tumor complain of severe pain. Cribriform pattern |
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