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Opth - Part III
Opth - Mucosal and Soft Tissue Pathology: Masses or Enlargements
11
Pathology
Professional
11/08/2011

Additional Pathology Flashcards

 


 

Cards

Term

Soft tissue masses (lumps and bumps):

Lower Lip

Definition

More likely

  • Mucocele
  • Fibroma

Likely

  • Squamous cell carcinoma

Less likely

  • Other mesenchymal tmors
  • Salivary duct cyst
  • Salivary gland tumor
  • Keratoacanthoma
Term

Soft tissue masses (lumps and bumps):

Upper lip

Definition

Likely

  • Fibroma
  • Salivary gland tumor
  • Salivary duct cyst

Less likely

  • Minor gland sialolith
  • Other meseschymal tymors
  • Nasolabial cyst
Term

Soft tissue masses (lumps and bumps):

Buccal Mucosa

Definition

More likely

  • Fibroma

Likely

  • Lipoma
  • Mucocele

Less Likely

  • Hyperplastic lymph node
  • Other mesenchymal tumors
  • SCC
  • Salivary gland tumor
Term

Soft tissue masses (lumps and bumps):

Gingiva/Alveolar Mucosa

Definition

More likely

  • Parulis
  • Epulis fissuratum
  • Pyogenic granuloma
  • Peripheral ossifying fibroma

Likely

  • Peripheral giant cell granuloma
  • Fibroma

Less Likely

  • SCC
  • Metastatic tumors
  • Gingival cyst of the adult
  • Traumatic neuroma
  • Kaposi's sarcoma
  • Peripheral odontogenic tumors
  • Congenital epulis
Term

Soft tissue masses (lumps and bumps):

Floor of mouth

Definition

Likely

  • Ranula/mucocele
  • Sialolith
  • SCC
  • Lymphoepithelial cyst

Less Likely

  • Epidermoid or dermoid cyst
  • Salivary gland tumors
  • Mesenchymal tumors
Term

Soft tissue masses (lumps and bumps):

Tongue

Definition

More Likely

  • Fibroma

Likely

  • SCC
  • Mucocele

Less Likely

  • Granular cell tumor
  • Other mesenchymal tumors (lymphangioma, hemangioma, neurfibroma, osseous choristoma)
  • Pyogenic granuloma
  • Salivary gland tumor
  • Lingual thyroid
Term

Soft tissue masses (lumps and bumps):

Hard or soft palate

Definition

More likely:

  • Palatal abscess
  • Leaf-like denture fibroma

Likely:

  • Salivary gland tumor
  • Kaposi's sarcoma
  • Nasopalatine duct cyst

Less likely:

  • Other mesenchymal tumors (fibroma, hemangioma,
  • SCC
  • Mucocele/salivary duct cyst
  • Lymphoma
  • Melanocytic nevus/melanoma
  • Necrotizing sialometaplasia
  • Adenomatoid hyperplasia of minor salivary glands
Term

Soft tissue masses (lumps and bumps):

Multiple lesions

Definition

Likely:

  • Kaposi's sarcoma
  • Neurofibromatosis type I

Less likely:

  • Multifocal epithelial hyperplasia
  • Amyloidosis
  • Granulomatous diseases (sarcoidosis, Crohn's disease, leprosy)
  • Multiple endocrine neoplasia type 2B
  • Tuberous sclerosis
  • Multiple hamartoma syndrome
Term

Soft tissue masses (lumps and bumps):

Midline neck lesions

Definition

Likely:

  • Thyroid gland enlargement

Less Likely:

  • Thyroglossal duct cyst
  • Dermoid cyst
  • Plunging ranula
Term

Soft tissue masses (lumps and bumps):

Lateral neck lesions

Definition

More Likely:

  • Reactive lymphadenopathy

Likely:

  • Epidermoid cyst
  • Lipoma
  • Infectious mononucleosis
  • Metastatic carcinoma
  • Lymphoma

Less Likely:

  • Salivary gland tumor
  • Submandibular sialadentitis
  • Cervical lymphoepithelial cyst
  • Granulomatous diseases (TB, sarcoidosis)
  • Cat-scratch disease
  • Cystic hygroma
  • Plunging ranula
Term
Generalized Gingival Enlargement
Definition

More Likely

  • Hyperplastic gingivitis

Likely

  • Drug-related gingival hyperplasia (phenytoin, Ca channel blockers, cyclosporin)

Less Likely

  • Gingival fibromatosis
  • Leukemic infiltrate
  • Wegener's granulomatosis
  • Scurvy
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