Term
| 4 things that cause inflammation of the oral cavity |
|
Definition
herpes simplex 1
apthous stomatitis
oral candidiasis (thrush)
glossitis |
|
|
Term
| who gets and what are the signs of a HSV1 primary infection |
|
Definition
usually 2-4yo and symptomatic then becomes domant in trigeminal
acute herpetic ginbivostomatitis: abrupt onset of vesicles and ulcerations on the lip |
|
|
Term
| what is it called when HSV 1 is reactivated |
|
Definition
| recurrent herpetic stomatitis |
|
|
Term
| causes of HSV1 reactivation 7 |
|
Definition
| trauma, allergies, UV light, URI, pregnancy, mensturation, immune supression |
|
|
Term
| symptoms of HSV1 reactivation |
|
Definition
herpes labialis: groups of 1-3mm vesicles on lips
also on nasal oriface, buccal mucosa, gingiva, hard palate
shalloe painful red ulcer
outbreaks are milder and shorter in duration |
|
|
Term
| prognosis of HSV1 reactivation |
|
Definition
resolves in 7-10d
persistant in immune compormised |
|
|
Term
|
Definition
| tzank test: multinucleated giant cells on lesion floor with eosinophil inclusions |
|
|
Term
|
Definition
|
|
Term
| signs of aphthous stomatitis |
|
Definition
| painfull, recurrent, solitary or multiple, thin exudate govering with gray base, erythema around |
|
|
Term
| what diseases have increased aphthous stomatitis 3 |
|
Definition
|
|
Term
| prognosis of aphthous stomatitis |
|
Definition
| spontaneously resolve in 7-10d but can reoccur |
|
|
Term
| bechets disease: cause, 3 signs |
|
Definition
immune complex casculitis of small vessels
aphthous ulcers, genital ulcers, uveitis |
|
|
Term
| clinical signs of oral thrush |
|
Definition
pseudomembranes: superificial curd gray-white inflammation, fibrosuppurative exudate, can be scraped off, red base
erythematous and hyperplastic |
|
|
Term
| 3 prognosis of thrush and why are there 3 |
|
Definition
antibiotics: invades body when flora composition changes
immune supression: disseminates in very immune supressed (transplants, neutropenia, chemo, AIDS)
stays superificial in minor immune supression (DM, xerostoma, antibiotics, steroid) |
|
|
Term
| glossitis: define, appearance, causes 3 |
|
Definition
inflammation of tongue, beefy red, jagged carious teeth, ill fitting dentures
plummer vinson syndrome, patterson kelly syndrome, nutritional deficiency |
|
|
Term
| 3 signs of patterson kelly syndrome |
|
Definition
glossitis
Fe deficiency anemia, esophageal dysplasia |
|
|
Term
| 4 reactive leasons of the mouth |
|
Definition
irritation fibroma
pyogenic granuloma
peripherial ossifying fibroma
peripherial giant cell granuloma |
|
|
Term
| irritation fibroma: cause, morphology, location, tx |
|
Definition
chronic irritation of the buccal mucosa on bite line causes submucosa nodular fibrous mass and CT hyperplasia
surgical excision if source of irritation |
|
|
Term
| pyogenic granuloma; who 3, cause, complication, tx |
|
Definition
kids, young adults, pregnant women
ret purple pedunculated capillary hemangioma of gingiva
immature vessels rapdly appear
can regress and turn into dense fibrous mass or peripherial ossifying fibroma
complete surfical excision is curative |
|
|
Term
| measles: 1 oral manifestations, 2 locations |
|
Definition
koplick spots, precede rash
often on buccal mucosa and around stinsens duct |
|
|
Term
| scarlet feve: 4 oral manifestations |
|
Definition
fire red tongue
prominent papillar rasberry tongue
white coating |
|
|
Term
| mono: 3 oral manifestations |
|
Definition
pharyngitis
tonsilitis
gray white exudate |
|
|
Term
| diptheria: 4 oral manifestations, 2 locations |
|
Definition
dirty white
fibrosuppurative
tough
inflammation membrane
on tonsils and retropharynx |
|
|
Term
| HIV oral manifestations 4 |
|
Definition
candidia
other fungi
kaposki sarcoma
hairy leukoplakia |
|
|
Term
| lichen planus oral manifestations 5 |
|
Definition
reticulate
lace
white keratotic lesions
ulcerated |
|
|
Term
| phemigus oral manifestations 3 |
|
Definition
usually vulgaris
bullae prone to rupture leaving hyperemic erosions |
|
|
Term
| bullous phemigoid oral manifestation morphology |
|
Definition
| like macrophage phemigus but different histologically |
|
|
Term
| erythema multiform/SJS oral manifestation 2 and causes 3 |
|
Definition
maculopapular, vestilobullous
follows infection, drug, collagen vascular disease |
|
|
Term
| pancytopenia/leukemia oral manifestations 4 |
|
Definition
oral infection
pharyngitis
tonsillitis
neck cellulities (ludqigs angina) |
|
|
Term
| monocytic leukemia oral manifestations 1 |
|
Definition
| leukemic infiltration of the gingivate and peridonitis |
|
|
Term
| what diseases could malaontic pigmentation of the oral cavity be 4 |
|
Definition
addisons disease
hemochromatosis
albright: fibrous dysplasia of bone
peutz jegher: GI polyposis |
|
|
Term
| oral manifestation of phenytoin |
|
Definition
| fibrous enlargement of gingivae |
|
|
Term
| oral manifestations of rendu-oslet-weber syndrome 2 and locations 6 |
|
Definition
AD disease
anrurysm telangiectases
mucosa of lral cavity, lips, GI tract, respiratory tract, urinary tract, internal viscera |
|
|
Term
| hairy leukoplakia: cause 3 |
|
Definition
| EBV or HPV infects immune compormised (esp HIV) and causes hyperplasia of squamous mucosa (no dysplasia) |
|
|
Term
| hairy leukoplakia: location, appearance, association |
|
Definition
white confluent patches, fluffy hypertonic thickening, that cannot be scraped off
on lateral border of tongue
often superimposed with thrush |
|
|
Term
|
Definition
| white plaque that cannot be scraped off |
|
|
Term
| 4 causes of leukoplakia 4 |
|
Definition
lichen planus
candidiasis
irritation
premalignant to SCC (via tobacco) |
|
|
Term
|
Definition
| red velvety plaque (dysplastic leukoplakia) that cannot be scraped off |
|
|
Term
| how does a erythroplakia form |
|
Definition
| atypical epithelial changes with high risk of malignant transformation |
|
|
Term
| epidemology and causes 3 of erythroplakia |
|
Definition
mostly male 40-70yo
tobacco, alcohol, HPB |
|
|
Term
| dx and tx of erythroplakia |
|
Definition
need to biopsy always
persistant avoidance of irritant |
|
|
Term
| what type of cancer is most oral cancer |
|
Definition
|
|
Term
|
Definition
| tobacco, HPV, actinic radiation, pipe smoking, genetics, alcohol |
|
|
Term
| where does HPV infect and lead to oral SCC |
|
Definition
| tonsilar crypts and back of tongue |
|
|
Term
| what 3 mutations is oral SCC associated with |
|
Definition
|
|
Term
| where is oral SCC located 6 |
|
Definition
| floor of mouth, ventral tongue, gingivia, lower lip, soft palate |
|
|
Term
| what does a oral SCC look like |
|
Definition
raised, firm, pearly, rough, verrucous mucosal thickening
leukoplakia or erythroplakia on black background
ulcerate as they enlarge and get rolled borders |
|
|
Term
| what are the stages of oral SCC from least to most serious 8 |
|
Definition
hyperplasia
hyperkeratosis
mild
moderate dysplasia
severe dysplasia
CIS
SCC
metastasis: cervical nodes, mediastinal, lungs, liver |
|
|
Term
|
Definition
better if caused by HPV than if not
50% survive because it is usually diagnosed at advanced stage
50% die due to secondary primary tumor
35% change oc field cancerization |
|
|
Term
| what is field cancerization |
|
Definition
| elevated risk of additional primary tumors due to chronic mucosal exposure to carcinogens (alcohol, tobacco) |
|
|
Term
| 5 inflammations of the nose |
|
Definition
infectious rhinitis - common cold
allergic rhinitis - hay fever
nasal polyps
chronic rhinitis
sinusitis |
|
|
Term
| causes of infectious rhinitis 3 |
|
Definition
adenovirus
echovirus
rhinovirus |
|
|
Term
| signs of infectious rhinitis 4 |
|
Definition
cararrhal discharge
edematous nasal mucosa
pharyngotonsilitis
clears in 1wk |
|
|
Term
| complications of infectious rhinitis 5 |
|
Definition
secondary bacterial infection: staph, strep, H. influenza
otitis media
sinusitis |
|
|
Term
| cause of allergic rhinitis |
|
Definition
| IgE mediated reaction fo allergen (fingi, pollen, animal) |
|
|
Term
| signs of allergic rhinitis 5 |
|
Definition
| mucosa, edema, erythema, mucous secretion, eosinophilic infiltrate |
|
|
Term
| associations with allergic rhinitis 3 |
|
Definition
| asthma, eczema, nasal polyps |
|
|
Term
|
Definition
recurrent rhinitis causes mucosa protrusion
cystic fibrosis
asthma intolerant asthma |
|
|
Term
|
Definition
polyp
possible ulceration
possible infection
large and may block airway or sinus |
|
|
Term
| chronic rhinitis: cause 2 |
|
Definition
| repeated attack of rhinitis with superimposed bacterail infection |
|
|
Term
| signs of chronic rhinitis 3 |
|
Definition
ulceration or desqumation of mucosa
inflammatory infiltrate
may extend into sinuses |
|
|
Term
| causes of acute sinusitis 2 |
|
Definition
acute/chronic rhinitis
nonspecific inflammatory reaction |
|
|
Term
|
Definition
| impairs sinus drainage causing empyema of sinusis |
|
|
Term
| complications of acute sinusitis |
|
Definition
|
|
Term
| cause of chronic sinusitis 2 |
|
Definition
mixed microbial flora of mouth
fungi (mucormycosis in DM) |
|
|
Term
| signs of chronic sinusitis 2 |
|
Definition
sinusitis
spread to orbit or cranial structures |
|
|
Term
| 3 necrotizing lesions of the nose and upper airway |
|
Definition
spreading fungal infections
wegner granulomatosis
extranodal NK/T cell lymphoma (lethal midline granuloma) |
|
|
Term
| 2 inflammations of the nasopharynx |
|
Definition
|
|
Term
| cause of pharyngitis/tonsillitis 10 |
|
Definition
virus: rhinovirus, echovirus, adenovirus, RSV, influenza, cosackie A, EBV
bacteria: GBS, B-hemolytic strep, staph aureus |
|
|
Term
| who gets pharyngitis/tonsillitis 4 |
|
Definition
compormised
neutropenic
diabetic
small children |
|
|
Term
| morphology changes in pharyngitis/tonsillitis |
|
Definition
erythema and edema of pharyngeal mucosa
pseudomembrane: covered in exudate membrane
tonsils: enlarged, covered with pseudomembrane |
|
|
Term
| signs of pharyngitis/tonsillitis |
|
Definition
|
|
Term
| complications of strep pharyngitis/tonsillitis 6 |
|
Definition
rheumatic fever
glomerulonephritis
peritonsillar abscess
tonsilitis, hyperemia, exudates |
|
|
Term
| complications of adenovirus pharyngitis/tonsillitis 3 |
|
Definition
| tonsilitis, hyperemia, exudates |
|
|
Term
| complications of cosackie A pharyngitis/tonsillitis |
|
Definition
| hyperangina: pharynx vesicles and ulcers |
|
|
Term
| 5 tumors of the nose/sinus/nasopharynx |
|
Definition
nasopharyngeal angiofibroma
inverted papilloma
isolated plasmacytoma
olfactory neuroblastoma
nasopharyngeal carcinoma |
|
|
Term
| nasopharyngeal carcinoma: epidemology, mirphology, signs |
|
Definition
adolescent males
benign tumor, fibrous and vascular
profuse epistaxis due to large vessels |
|
|
Term
| inverted papilloma: morphology, location 2, complications 2 |
|
Definition
locally agressive, grows into mucosa, squamous epithelium
nose and paranasal sinuses
can invade orbit and cranial vault |
|
|
Term
| isolated plasmacytoma: morphology, complications, tx |
|
Definition
solitary myaloma
recurs and invades orbit and cranial vault
excision is curative |
|
|
Term
| olfactory neuroblastoma: morphology |
|
Definition
| malignant proliferation of neuroendocrine cells in olfactory mucosa |
|
|
Term
| nasopharyngeal carcinoma: epidemology |
|
Definition
distinct geographical location
higher in chinese |
|
|
Term
| cause of nasopharyngeal carcinoma |
|
Definition
| EBV + genetic susceptability and age |
|
|
Term
| pathogenesis of nasopharyngeal carcinoma |
|
Definition
EBV replicates in nasopharyngeal epithelium then infects B cells which induce T cell proliferation making atypical T cells and lymphocytes
when combined with genetic susceptability it transforms nasopharyngeal cells |
|
|
Term
| signs of nasopharyngeal carcinoma |
|
Definition
|
|
Term
| histological varients of nasopharyngeal carcinoma, which is most linked to EBV |
|
Definition
keratinizing squamous cell carcinom
nonkeratinizing squamous cell carcinoma
undifferentiated carcinoma - most linked to EBV |
|
|
Term
| appearance of a nasopharyngeal carcinoma 4 |
|
Definition
large epithelial cells
indistinct borders (synctal growth in nests)
surrounded by mature lymphocytes
eosinophilic nuclei |
|
|
Term
| prognosis of nasopharyngeal carcinoma |
|
Definition
locally invasive, spread to cervical nodes
metastasis to distant sites
radiosensitive
5y survival 10% |
|
|
Term
|
Definition
|
|
Term
|
Definition
| allergy, virus, bacteria, tobacco` |
|
|
Term
|
Definition
laryngoepiglottitis
laryngotracheobronchitis
TB laryngitis
diptheria laryngitis |
|
|
Term
| laryngoepiglottitis: cause 2, signs 6 |
|
Definition
H. influenza or GBC cause inflammation of epiglottis
medical emergency: sudden swelling of epiglottis or vocal cords, drooling, dysphagia, muffled voice, inspiratory stridor, airway obstruction |
|
|
Term
| laryngotracheobronchitis: cause 2, signs 3 |
|
Definition
parainfluenza or RSV causes inflammatory narrowing of airway
inspiratory stridor, hoarse barking gough, possible respiratory failure |
|
|
Term
|
Definition
| cough up infectious particles that infect larynx |
|
|
Term
| diptheria laryngitis: cause, morphology |
|
Definition
| implants on airway and releases toxin causing pseudomembrane (necrosis, fibropurulent gray dirty exudate |
|
|
Term
| diptheria laryngitis complications 3 |
|
Definition
aspiration: due to sloughing of pseudomembrane
myocarditis
peripheral neuropathy |
|
|
Term
| benign lesions of the larynx 3 |
|
Definition
vocal cord nodules (polyps)
laryngeal papilloma/squamous papilloma
recurrent respiratory papilomatosis |
|
|
Term
| causes of vocal cord nodules 2 |
|
Definition
heavy smoking
singers nodes (chronic irritation) |
|
|
Term
| location of vocal cord nodules |
|
Definition
|
|
Term
| symptoms of vocal cord nodules 2 |
|
Definition
impingement of cord
change in vouce (progressive hoarsness) |
|
|
Term
| morphology of vocal cord nodules 6 |
|
Definition
smooth
hemisphericle
<0.5cm
fibrosis
stratified squamous
degenerative mycoid CT |
|
|
Term
| laryngeal papilloma / squamous papilloma cause 2 |
|
Definition
|
|
Term
| location of laryngeal papilloma / squamous papilloma 3 |
|
Definition
true vocal cords
single in adult
multiple in kids (juvenile laryngeal papilloma) |
|
|
Term
| morphology of laryngeal papilloma / squamous papilloma 6 |
|
Definition
soft
raspberry like
<1cm
finger like projections
fibrovascular cord
stratified squamous |
|
|
Term
| complications of laryngeal papilloma / squamous papilloma |
|
Definition
| when on free edge trauma causes ulceration and hemoptysis, benign, frequently reoccur |
|
|
Term
| recurrent respiratory papillomatosis differences in epidemology |
|
Definition
adults: single lesion
children: reoccur after excision, more common |
|
|
Term
| recurrent respiratory papillomatosis cause 6 |
|
Definition
| HPV 6 and 11 usually vertical transmission |
|
|
Term
| recurrent respiratory papillomatosis prognosis |
|
Definition
| benign, regress around puberty |
|
|
Term
| laryngeal carcinoma: epidemology |
|
Definition
|
|
Term
| laryngeal carcinoma: causes 4 |
|
Definition
| smoking, alcohol, asbestos, HPV |
|
|
Term
| laryngeal carcinoma locations 6 and their prevalences |
|
Definition
glottis (on vocal cord) 60%
supraglottic 25%
subglottic 5%
epiglottic
aryepiglottic fold
piriform sinuses |
|
|
Term
| laryngeal carcinoma type of cancer |
|
Definition
95% SCC
rare adenocarcinoma from mucous glands |
|
|
Term
| laryngeal carcinoma morphological stages |
|
Definition
1. in situ: pearly gray, wrinkled plaque on mucosa surface
2. ulcerating and fingating, invasive, atypical epithelium
- glottis tumors: keratinized, well differentaed |
|
|
Term
| how is the malignant potential of a laryngeal carcinoma determined |
|
Definition
| spectrum of epithelial adhesions (hyperplasia to invasive carcinoma) and thickness of lesion |
|
|
Term
| laryngeal carcinoma clinical signs 9 |
|
Definition
hoarsness: in glottis location this comes earlier due to interferance
cough, stridor, pain, dysphagia, hemoptysis, intrinsic/extrinsic larynx relaxation
increased risk for infection and ulceration |
|
|
Term
| prognosis of laryngeal carcinoma - general |
|
Definition
metastasis rare due to sparse larynx lymph supply
1/3 die, 2/3 cured from surgery or radiation |
|
|
Term
| prognosis of laryngeal carcinoma - supraglottic |
|
Definition
| has more lymph supply and is more likley to metastasize to cervical nodes |
|
|
Term
| prognosis of laryngeal carcinoma - glottic |
|
Definition
| often confined to larynx and have better prognosis |
|
|
Term
| prognosis of laryngeal carcinoma - subglottic |
|
Definition
| usually manifest as advanced disease |
|
|
Term
| 3 inflammations of the ear |
|
Definition
otitis media
cholesteatomas
otosclerosis |
|
|
Term
| acute otitis media: epidemology, causes 4 |
|
Definition
infects infants and young kids
viruses
bacteria: H. influenza, S. pneumo, M. catarahalis |
|
|
Term
| how do you tell viral and bacterial otitis media apart |
|
Definition
viral: serous exudate
bacterial: suppurative exudate |
|
|
Term
| cause of chronic otitis media 3 |
|
Definition
pseudomonas aeruginosa: in DM causes necrotizing otitis media
staph aureus
fungi |
|
|
Term
| signs of chroninc ottis media 3 |
|
Definition
eardrum performation
spread to mastoid
spread to cranial vault |
|
|
Term
|
Definition
cystic lesion with amorphous squamous debris
not neoplasms, dont need to have cholesterol |
|
|
Term
|
Definition
| progressive enlargement erodes structures of inner ear causing visible nect mass |
|
|
Term
|
Definition
| abnormal bonr deposition in middle ear at rim of oval window where footplate of stapes fits |
|
|
Term
|
Definition
bilateral
familial
ankylosis of structures causing hearing loss |
|
|
Term
| what is the most common tumor of the ear, who is it seen in, why |
|
Definition
SCC of the pinna
elderly men
actinic radiation |
|
|
Term
| complications of SCC of the external canal |
|
Definition
| invade cavity or metastasize to nodes |
|
|
Term
|
Definition
branchial cyst (lymphoepithelial cyst)
thyroglossal tract cyst
paraganglioma (carotid body tumor) |
|
|
Term
|
Definition
| benign mass in ANTEROLATERAL NECK that came from branchial arch element or developmental salivary gland inclusion within cervical nodes |
|
|
Term
| branchyial cyst prognosis |
|
Definition
rarley cancerous
cured with excition
can cause similar lesions on parotid or under tongue |
|
|
Term
| thyroglossal tract cyst: cause |
|
Definition
embrylogically in thyroid anlage (regional of foramen cecum)
developing gland descends to normal position in anterior neck
remnants of tract persist causing cysts that may have lymphoid aggregates or thyroid tissue |
|
|
Term
| thyroglossal tract cyst: prognosis |
|
Definition
| incomplete excision may allow for reoccurence |
|
|
Term
|
Definition
cluster of neuroendocrine cells connected with sympathetic NS
tumors at arenal medulla give rise to pheochromocytomas
tumors in extra adrenal paraganglia make paragangliomas |
|
|
Term
| sigs of a paraganglioma located by paravertebral ganglia 3 |
|
Definition
have sympathetic connections
chromaffin positive
some make catecholamines |
|
|
Term
| paraganglioma by the great vessels (carotid body tumor): epidemology, cause/associations |
|
Definition
innervated by PANS, sense O2 and CO2 (chemodctomas)
sporatic, show in 60s, assicuated with multiple endocrine syndeome |
|
|
Term
| paraganglioma by the great vessels (carotid body tumor): prognosis |
|
Definition
| 50% fatal due to infiltrative growth |
|
|
Term
| what are the 4 salivary glands |
|
Definition
major: parotid, submandibular, sublingual
minor: numerous around mouth |
|
|
Term
|
Definition
| dry mouth due to decreased saliva production, may occur with atrophy, ulcerations, fissures of tongue |
|
|
Term
| xerostoma: complications 3 |
|
Definition
| atrophy, ulcerations, fissures of tongue |
|
|
Term
|
Definition
sjogern's syndrome: inflammation of salivary glands, dry eyes, dry vagina
radiation
druge induced |
|
|
Term
| what is the most common inflammatory lesion of the salivary gland |
|
Definition
|
|
Term
|
Definition
| blockage or rupture of duct with saliva leaking into stroma |
|
|
Term
|
Definition
| fluctuant swelling of lower lip that may change in size, associated with meals |
|
|
Term
|
Definition
cyst like space, granulation tissue or fibrous CT
filled with mucin and macrophages |
|
|
Term
|
Definition
| excision of cyst and minor gland is curative |
|
|
Term
|
Definition
bacteria: S. aureus, S. viridans
autoimmune: sjogern syndrome
viral: mumps |
|
|
Term
| what is the most common viral saladenitis |
|
Definition
|
|
Term
| what are the 3 locations of mumps activites and what does it do there |
|
Definition
parotid: bl interstitial inflammation and mononuclear infiltrate
pancrease: increases serum amylase
testes: causes orchitis and sterality when pt >10yo |
|
|
Term
| locations of bacterial sialadenitis |
|
Definition
| major glands, esp submandibular |
|
|
Term
| cause of bacterial saladenitis |
|
Definition
| obstruction via caliculi/salioltiasis, food, injury, phenothiazine, therapy, dehydration |
|
|
Term
| what is the most common cause of bacteial saladenitis in the elderly |
|
Definition
| dehydration leads to bacterial protiditis following thoracic or abdominal surgery due to non specific inflammation of the glands |
|
|
Term
| signs of pyogenic bacterial saladenitis 2 |
|
Definition
| suppurative necrosis and abscess, unilateral |
|
|
Term
| signs of bacterial saladenitis 2 |
|
Definition
painful enlargement
purulent ductal discharge |
|
|
Term
| location and prevalence of salivary gland neoplasms |
|
Definition
65-80% in parotid
10% in submandibular
rest in minor/sublingual |
|
|
Term
| location and prevalence of malignant salivary gland neoplasms |
|
Definition
90% sublingual
10% submandibular
15% parotid
inversley proportional to gland size |
|
|
Term
| epidemology of salivary gland neoplasms |
|
Definition
older adults 50-60yo
female usually |
|
|
Term
| benign salivary gland tumors 6 |
|
Definition
pleomorphic adenoma
warthrin tumor (papillary cystadenoma lymphomastosum)
oncocytoma
basal cell adenoma
canicular adenoma
ductal papilloma |
|
|
Term
| malignant salivary gland tumors 6 |
|
Definition
mucoepidermoid carcinoma
adenocarcinoma
acinic cell carcinoma
adenoid cystic carcinoma
malignant mixed tumor
SCC |
|
|
Term
| pleomorphic adenoma: location and prevalence |
|
Definition
60% parotid
rest submandibular or buccal |
|
|
Term
| cause and morphology of pleomorphic adenoma |
|
Definition
PLAG1 rerangement
mature ductal gland epithelial and mesenchymal differentiation
matrix: myxoid, hayline, chondroid stroma (cartalginous), osseous |
|
|
Term
| cellular arrangement patterns of pleomorphic adenoma 5 |
|
Definition
ducts
acini
irregular tubules
strands
sheets |
|
|
Term
| signs of pleomorphic adenoma |
|
Definition
| painless: no invaded facial nerve because NOT MALIGNANT |
|
|
Term
| appearance of pleomorphic adenoma |
|
Definition
| slow, discrete mass, round, encapsulated, gray-white-blue, mobile |
|
|
Term
| signs of a parotid pleomorphic adenoma |
|
Definition
| swelling in front and below ear |
|
|
Term
| prognosis of pleomorphic adenoma |
|
Definition
long term malignancies not common (identified when pt begins to have facial nerve damage
reoccur after 4% of parotidectomies and 25% enucleation
carcinoma arises within tumor sometimes (carcinoma ex pleomorphic adenoma) |
|
|
Term
| what is the second most common salivary neoplasm |
|
Definition
|
|
Term
| warthin tumor: 2 risk factors |
|
Definition
mostly in males
8x risk in smoker |
|
|
Term
| warthin tumor: location 3 |
|
Definition
almost always in parotid
10% multifacial
10% bilateral |
|
|
Term
|
Definition
cystic tumor
lymph tissue: embryologically common in parotid because it is last gland to separate from adjacent stroma |
|
|
Term
| what is the most common primary malignant salivary gland tumor |
|
Definition
|
|
Term
| mucoepidermoid carcinoma cause |
|
Definition
| usually radiation induced rerangement in MAML2 or NOTCH pathway |
|
|
Term
| mucoepidermoid carcinoma location |
|
Definition
| promoditly in parotid gland |
|
|
Term
| mucoepidermoid carcinoma cellular composition 3 |
|
Definition
squamous cells
mucous secreting cells
intermediate cells |
|
|
Term
| mucoepidermoid carcinoma appearance |
|
Definition
up to 8cm
circumscribed
no capsule
infiltrative
pale gray
mucinous |
|
|
Term
| mucoepidermoid carcinoma cellular patterns |
|
Definition
| cords, sheets, cyst linked with squamous, mucinous, or intermediate cells |
|
|
