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PATH - Oral Cavity/upper air
(*)p. 33
33
Medical
Graduate
01/25/2009

Additional Medical Flashcards

 


 

Cards

Term
Hairy Leukoplakia
Definition

Corrugated plaques in lateral tongue

 

An Aquired Immunodeficiency

 

Seen in 20% HIV pats, 80% AIDS pats

Term
The vast majority of Oral Cavity Carcinomas are what kind?
Definition
Squamous Cell Carcinoma
Term
What group has VIRTUALLY NO RISK FOR TONGUE CARCINOMA?
Definition
young <40 females
Term
Where does nasopharyngeal lymph drainage go?
Definition
Posterior Triangle
Term

Canker sores are know as ____ ulcers

 

 

 

When common?

Definition

Aphthous Ulcers

 

1st two decades of life.

 

triggered by stress, fever, indigestion, foods, IBD

 

Term
A PRODOME is indicative of :
Definition

Herpes simples viral infection

 

75% pop infected

 

Tzank cells

 

 

Term

____=HIV ONLY

 

Lesions are anywhere in oral mucosa, composed of white confluent patches

 

EBV is in lesions that dont progress to cancer

Definition

Oral Hairy Leukoplakia

 

 

Term
Leukoplakia
Definition

Well defined white mucosal patch or plaque caused by epidermal thickening or hyperkeratosis

 

common among older men

-assoc with tobacco, alch, CHRONIC FRICTION (Jagged tooth), HPV

 

can become SCC (Squamous cell c) 

 

***TONGUE is the highest rate of change, 

Floor of mouth is the lowest risk of SCC***

Term
Erythroplasia
Definition

Red,  velvety often granular appearing area

 

Epithelial dysplasia

 

50% transform to malignant

Term
95% of all oral cavity cancers are of what type>
Definition

Squamous cell carcinoma

 

lesions are pearly white to grey

May ulcerate

 

Kymph node metastasis at time of initaial diognosis:

LOW with LIP cancer

HIGH with tongue and floor of mouth cancer

 

 

 

Term

What is the most common gland involved in sialadenitis

 

age differences?

Definition

parotid

 

Mumps = all glands, but predominantly parotid

 

 in children, mumps self-limiting ... 

in adults, accompanied by pancreatitis or orchitis (can --> sterility

Term
Autoimmune Sialafenitis
Definition

salivary gland autoimmune dz

 

INHERENTLY BILATERAL

 

**Sjogren's Syndrome involves:

  • inflam enlargement of salivaryand lacrimal glands
  • xerostomia (Dry mouth)
  • keratoconjunctivitis sicca (Dry eyes)

 

Term
Mikulicz syndrome
Definition

salivary and lacrimal gland inflammation inlargement and dry mouth (xerostomia)

 

Clinical findings :
Sarcoidosis

leukemia

lymphoma and idiopathic lymphoeithelia hyperplasia

Term
most commonly occurs secondary to obstruction from stone developing within the excretory duct of the gland
Definition

 

bacterial sialadenitis

 

Term

Salivary Gland Tumors:

 

1) Most Common?

 

2) More often malignant?

 

3) Who is effected?

 

what is are the 2 most common tumor of the salavary gland?    (1 then 2)

Definition

1) Parotid

 

2) Sublingual, submandibular glands

 

3)  Males and females 0  usually in 6th or 7 th decade

 

 4) pleomorphic adenoma

Warthin's tumor is second - in Parotid

Term

____ is an EBV assoc malignancy that has a high freq if occurance in southern china

 

where metastisize?

 

Properties?

Definition

Nasopharyngeal carcinoma

 

 

All variants contain EBV

 

Very- RADIOSENSITIVE-

metastasizes in CERVICAL LYMPHS

 

 

Is BIMODAL in first two decades-5th decase in NONENDEMIC areas

 

 

 

Term

Laryngeal tumors:

 

1) Benigh

 

2) Malignant

Definition

1) Vocal cord polyps -- irritation or trauma

Papilloma -- HPV

 

 

2) MALIGNANT

 

95% are squamous celled carcinomas

 

 

****UPPER = Malignant bc more lymph

 

LOWER = less bc less

Term
This type of cancer is enhanced by reverse smoking
Definition
palatal carcinoma
Term
_____ = painful white / grey exudate, erythematous rim, not contagious?
Definition
Aphthous ulcer
Term
_____ = white mucosal patch from epidermal thickening or hyperkeratosis - 2-6% become malignant - more with tobacco or broken tooth, no whiping
Definition
leukoplakia
Term
_____ = red, 50% become malignant
Definition
erythoplakia
Term
95% are SCC squamous cell carc
Definition
oral cancers
Term
_____ = xerostomia, keratoconjunctivitis sicca, RA? autoimmune, women
Definition
Sjoren's syndrome
Term
EBV -- S. China -- radiosensitive
Definition
Rasopharengeal carcinoma
Term
EBV -- HIV -- Non Whipable -- side of tongue
Definition
Oral Hairy Leukoplakia
Term
_____ = mucosal tear of esophagus - coffe ground vomit
Definition
mallory weiss tear
Term
_____ = esophageal rupture
Definition
bOERHAAVE
Term
_____ = FROM GASTRIC REFLUC -- ON HISTO, SEE EOSINOPHILS / elongated papilliae / vasc lakes / basal hyperplasia
Definition
Esophagitis
Term
_____ = Mataplastic columnar epith with goblet cells, --- Male Dominant -- SALMON FLAMES --- Inc. Adenocarcinoma
Definition
Barrett's
Term
gastrin-secreting tumor -- increase stomach H+
Definition
Zollinger-Ellison Syndrome
Term
Hiatal hernia
Definition
Dialated stomach segment protruding above the diaphragm --
Term
Achalasia
Definition

failure of esophageal musc. to relax

 

 due to enervation problem

or

Myenteric Plexus disruption (Chagas dz -- Tympanosoma cruzi)

 

 

:regurgitation

Can result in the increase of SCC in pats.

 

Term
Mallory Weiss Syndrome
Definition

tears

 

Longitudinal tears in esophagus at Gast-esoph junct

 

caused by extreeme retching (alch) 

 

bleeding usually not profuse

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