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Squamous Papilloma
"Pedunculated, fingerlike projections of SSE, Koilocytes, HPV6 and 11"
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Verruca Vulgaris
"HPV 2, 4, 6, 40; Papillary projections covered in hyperkeratotic SSE, elongated rete ridges, koilocytes"
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Condyloma Acuminatum
"HPV, STD, Acanthotic SSE�blunted projection, Prickle cells with raisin nuclei and koilocytes"
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Multifocal Epithelial Hyperplasia
"Proliferation of squamous epithelium, HPV 13 and 32, HLA-DR4 allele"
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Molluscum Contagiosum
"Virus-induced, epithelial hyperplasia, multiple papules"
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Leukoplakia
"Hyperkeratosis w/ or w/o acanthosis, parakeratin or orthokeratin, oral precancer, chronic inflammatory cells, dysplastic epithelial cells"
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Erythroplakia
"Macule or plaque, severe epithelial dysplasia, carcinoma in situ, superficially invasive SCC, no keratin production, very thin epithelium"
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Smokeless Tobacco
"Gingival recession, acanthosis, hyperkeratosis, chevron formation, dysplasia"
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Oral Submucous Fibrosis
"Betal quid, trismus, dense-hypovascular CT, hyperkeratosis, basilar hyperplasia, fibrosis in lamina propria"
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Nicotinic Stomatitis
"Due to heat, small red papules in white lesion, hyperkeratosis, acanthosis"
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Actinic Keratosis
"Sun exposure, scaly plaques, excessive parakeratin, hyperchromatism and pleomorphism of epidermal cells"
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Actinic Chelitis
"Lower lip vermillion atrophy, sun-exposure, keratin production, solar elastosis of underlying CT, inflammatory infiltrate"
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Keratoacanthoma
"Central plug of keratin, well-differentiated SCC"
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Squamous Cell Carcinoma
"HPV 16, 18, 31, 32, dysplastic surface epithelium, invasive islands, cords of malignant squamous epi cells: lamina dura�BM�subepithelial CT; angiogenesis, fibrosis, keratin pearls"
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Spindle Cell Carcinoma
"Dysplastic surface squamous epithelium, invasive spindle cell element"
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Basal Cell Carcinoma
"Skin cancer, sun-exposure, ulceration, hyperchromatic epithelial cells, palisading of peripheral cells, demarcated islands and strands, solar elastosis"
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Sebaceous Hyperplasia
"Localized proliferation of sebaceous glands, small central depression, sebum expression upon compression of the lesion, Muir-Torre Syndrome"
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Verrucous Carcinoma
- "Low-grade variant of SCC, chronic smokeless tobacco use, large exophytic papillary mass, wide, elongated rete ridges, parakeratin plugs"
- (Snuff Dipper�s Cancer)
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Nasopharyngeal Carcinoma
"Arises from lining epithelium of the lymphoid tissue-rich nasopharnx, EBV, Tobacco use, Waldeyer�s Ring"
-
Sebhorrheic Keratosis
"Benign, raised, proliferation of epidermal basal cells, NOT oral, acanthosis, hyperkeratosis, pseudocysts (keratin-filled invaginations), upward proliferation"
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Ephelis (Freckle)
"Hyperpigmented macule of the skin, SSE with abundant melanin deposition in basal layer, no elongation of rete ridges, NEVER elevated, sun-exposure effect"
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Actinic Lentigo
- "Due to sun-exposure, but doesn�t change color intensity, well-demarcated, but irregular borders, increased melanin"
- "(Liver Spots, Age Spots)"
-
Lentigo Simplex
"Benign cutaneous melanocytic hyperplasia, no color change with sun, basal keratinocytes, melanin incontinence"
-
Peutz-Jegher�s Syndrome
"Freckle-like lesions of hands, perioral skin and oral mucosa most affected, intestinal polyposis, Circumoral lentigines, GI adenocarcinoma"
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Addison�s Disease
"Adrenal cortical insufficiency, diffuse hypermelanosis, �bronzing of the skin�"
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Melasma
- "Bilateral hyperpigmentation of sun-exposed skin of face and neck, associated with pregnancy, increased melanin deposition, wood lamp for melanin visualization"
- (Mask of Pregnancy)
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Oral Melanotic Macule
"No sun-exposure, flat, brown mucosal discoloration, lower lip macule, increase in melanin, melanin incontinence"
-
Oral Melanoacanthoma
"African Americans, dramatic enlargement within months, darkly pigmented"
-
Caf�-au-lait Spot
"Flat, brown macules, >1.5cm in diameter, 6+=neurofibromatosis, seen in Albright Syndrome"
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Acquired Melanocytic Nevi
"Localized proliferation of NCC derived cells, hard palate, slightly elevated, junctional, compound, intramucosal/intradermal nevi"
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Congenital Melanocytic Nevus
"Hypertrichosis, compound or intradermal nevi, infiltration of cells between collagen bundles, �Giant Hairy Nevus�"
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Halo Nevus
"Melanocytic nevus with a pale HYPOpigmented border, autoimmune attack on melanocytes"
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Blue Nevus
"Tyndall effect causes blue color, melanin particles deep in spindle-shaped melanocytes, compound nevus"
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Melanoma
"Malignant neoplasm of melanocytic origin, sun-exposure (acute), BRAF gene, ABCDE clinical diagnosis, BANS (worst prognosis)"
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Superficial Spreading Melanoma
"Most common, nodular, deeply pigmented exophytic lesion, spread of atypical melanocytes ALONG basilar portion of epidermis, Pagetoid pattern, lateral spread"
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Lentigo Maligna Melanoma
"From Lentigo meligna or Hitchinson�s Freckle, Sun-exposure, fair-skin, melanoma in situ in a radial growth phase"
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Acral Lentiginous Melanoma
"African Americans, Oral melanoma, atypical melanocytes IN the basal portion of epithelium, invasion into the superficial lamina dura, dendritic processes"
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Vitiligo
"Autoimmune, onset after stress, sun-exposure, injury, NO melanocytes present in involved skin"
-
Pityriasis (Tinea) Versicolor
"HYPO or HYPERpigmented, fungal related, more obvious when patient is tan, �spaghetti and meatballs� seen with KOH stain"
-
Fibroma
"Exophytic, nodular mass, dense, fibrous CT covered by SSE, NOT encapsulated, pedunculated, response to local irritation or trauma, fibrous maturation of a preexisting pyogenic granuloma "
-
Giant Cell Fibroma
"Retrocuspid papilla, vascular, fibrous CT, multi-nucleated, stellate fibroblasts within superficial CT, Rete ridges narrow and elongated"
-
Peripheral Ossifying Fibroma
"Exclusively on gingiva, interdental papillae, formation of mineralized product (central bone formation), pyogenic granuloma (ddx)"
-
Pyogenic Granuloma
"Response to local irritation or trauma, pedunculated, highly vascular, endothelium-lined channels engorged with RBCs, lobular aggregates of vessels"
-
Peripheral Giant Cell Granuloma
"Response to local irritation or trauma, exclusively on gingiva, nodular proliferation of multi-nucleated giant cells within the gingiva, highly vascularized, RBCs"
-
Traumatic Neuroma
- "Haphazard proliferation of mature, myelinated and unmyelinated nerve bundles, reactive proliferation after local trauma to a nerve, regeneration pathology"
- Amputation Neuroma
-
Neurilemoma
- "Schwann cell origin, Antoni A/B, palasaded arrangement around the central, acellular eosinophilic areas (Verocay Bodies)�Reduplicated BM and cytoplasmic processes, S100 protein +"
- Schwannoma
-
Granular Cell Tumor
"Benign, derived from Schwann or neuroendocrine cells, tongue, large polygonal cells, NOT encapsulated (but benign), S100+, acanthosis, PEH"
-
Neurofibroma
"Peripheral nerve neoplasm, solitary or part of neurofibromatosis, skin, interlacing bundles of spindle-shaped cells, wavy nuclei, mast cells"
-
Neurofibromatosis
"NF1 gene, Von Recklinghausen�s Disease, Plexiform variant (bag of worms), Caf�-au-lait (6+), Axillary Freckling (Crowe�s Sign), Lisch Nodules, optic glioma, neurofibromas, enlargement of fungiform papillae, mandibular foramen, and increased bone density"
-
Paraganglioma
"Paraganglia (tissues from NCCs), carotid body tumor"
-
Multiple Endocrine Neoplasia
MEN 2B
"Marfanoid body build, Pheochromocytomas (increased catecholamines), leads to medullary thyroid carcinoma, increased VMA and Epi:NorEpi"
-
Melanotic Neuroectodermal
- "NCC origin, Maxilla, pigmented neoplasm, high urinary levels of VMA, benign, despite rapid growth and potential to destroy bone"
- Tumor of Infancy
-
Inflammatory Papillary Hyperplasia (Denture Papillomatosis)
"Ill-fitting dentures, hard palate, mouth breathers, high palatal vault, hyperplastic SSE, PEH, sclerosing sialadenitis if salivary glands present, loose and edematous to densely collagenized CT, chronic inflammatory cell infiltrate"
-
Epulis Fissuratum
"Ill-Fitting Dentures, Fibroepithelial polyp/leaf-like fibroma, hard palate, pedunculated, hyperkeratotic overlying epithelium, irregular hyperplasic rete ridges"
-
Congenital Epulis
"Soft tissue tumor, alveolar ridges of newborns, polypoid mass"
-
Hemangioma
"Benign tumors of infancy, endothelial proliferation, circumscribed cellular mass of vascular endothelial cells, strawberry hemangioma (bright red, superficial), deeper hemangiomas are bluish due to Tyndall Effect"
-
Vascular Malformations
"NO endothelial proliferation, Port Wine Stains (face, along CNV), excessive numbers of dilated blood vessels in the middle and deep dermis"
-
Sturge-Weber Angiomatosis
"Hamartomatous vascular proliferation involving tissues of brain and face, port wine stain or nevus flammeus, leptomenigial angiomas, gyriform �tramline� calcifications in the brain, glaucoma, vascular dilation of oral lesions, vascular hyperplasia of gums"
-
Lymphangioma
"Hamartomatous tumors of lymphathic vessels, dilated lymphatic vessels beneath the atrophic surface epithelium and in the deeper CT (Cavernous Lymphangioma), Cystic Hygroma, pebbly and vesicle apper."
-
Leiomyoma
"Benign tumor of smooth muscle, Masson Trichome stain shows SM bundles with normal collagen"
-
Rhabdomyoma
"Benign neoplasm of skeletal muscle, rounded and polygonal cells with focal vacuolization (spider web appearance) granular eosinophilic cytoplasm, PTAH=focal cross striations"
-
Lipoma
"Benign tumor of mature fat cells, yellow-nodular masses, sessile or pedunculated, thin fibrous capsule"
-
Osseus and Cartilagionous Choristomas
"Microscopically NORMAL tissue in an ABNORMAL location, bone and/or cartilage in the TONGUE, mass of dense lamellar bone beneath surface epithelium"
-
Fibrosarcoma
"Malignant tumor of fibroblasts, spindle-shaped cells with mild pleomorphism"
-
Liposarcoma
"Malignant tumor of fatty cell origin, well-differentiated/atypical lipomatous tumor (most common)"
-
Leiomyosarcoma
"Malignant tumor of smooth muscle origin, uterine wall and GI tract, RARE in oral cavity"
-
Rhabdomyosarcoma
"Malignant tumor of skeletal muscle origin, infiltrative mass that grows rapidly, head and neck common"
-
Malignant Peripheral Nerve Sheath Tumor
50% of NF1 gene + people get this (Neurofibromatosis)
-
Kaposi�s Sarcoma
"Vascular neoplasm caused by HHV8 and KSHV, propensity in HIV+, lesion arises in endothelial cells"
-
Metastasis to Oral Soft Tissues
"Uncommon, Batson�s Plexus allows metastasis, gingiva and tongue most common, lung>kidney>melanoma>prostate>breast cancer for metastasis to oral cavity"
-
Mucocele
"Rupture of salivary gland duct due to local trauma, NEVER on upper lip, mucin-filled cyst-like (not a true cyst) cavity, granulation and foamy histiocytes present"
-
Ranula
"Mucocele on the floor of the mouth, spilled mucin from sublingual gland"
-
Salivary Duct Cyst
"True cyst, �Mucous Retention Cyst�, lined by thin cuboidal epithelium, excretory gland duct lined by columnar epithelium, major and minor salivary glands"
-
Sialolithiasis
"Calcified structures that develop within the salivary duct system, submandibular gland, radiopaque masses, concentric laminations around amorphous debris, squamous metaplasa of duct, �milk� stone out of duct with massage"
-
Sialadenitis
"Inflammation of salivary gland, due to bacteria, sialolithiasis, congential strictures; purulent exudates, chronic inflammatory infiltrate with associated acinar atrophy and ductal dilation and fibrosis"
-
Sialadenosis
"Non-inflammatory, salivary gland enlargement, parotid gland most common, hypertrophy of acinar cells, excessive accumulation of secretory granules "
-
Sialorrhea
"Excessive salivation, Water Brash, Drooling"
-
Xerostomia
"Subjective dry mouth, usually due to medications in older people, saliva is ropey, thick or foamy, prone to dental caries and candidiasis"
-
Sjogren Syndrome
"Chronic systemic autoimmune involving salivary and lacrimal gland dysfunction, Sicca Syndrome, Elevated IgG, RF, Anti-SS-A/B, lymphocytic infiltration of salivary glands, destruction of acinar cells, presence of focal chronic inflammatory aggregates"
-
Benign Lymphoepithelial Lesion
"Mikulicz disease, autoimmune disease, bilateral salivary and lacrimal enlargmenet, lymphocytic infiltration of the parotid gland with associated epimyoepithelial island"
-
Necrotizing Sialometaplasia
"Local inflammatory destruction of salivary glands, palatal salivary glands most common, necrotic mucous acini and adjacent ductal squamous metaplasia, ulceration in later stages, will heal on its own"
-
Pleomorphic Adenoma
"Mixture of ductal and myoepithelial elements, parotid gland most common, well-circumscribed, encapsulated, benign tumor with variable microscopic pattern and mesenchyme-like background, fat or osteoid can be present"
-
Oncocytosis
"Transformation of ductal and acinar cells to oncocytes, proliferation and accumulation of oncocytes in salivary glands, polyhedral, granular eosinophilic cytoplasm (result of proliferation of mitochondria)"
-
Oncocytoma
"Monomorphic Adenoma, composed of large epithelial cells (oncocytes), well-circumscribed, benign, abundant granular, eosinophilic cytoplasm (mitochondria)"
-
Warthin�s Tumor
- "Benign, monomorphic adenoma, parotid gland tumor, associated with smoking, bilateral (but not at same time), 2 layers: inner luminal layer with tall columnar cells, palasading, centrally placed nuclei, second layer of cuboidal or polygonal cells with more vesicular nuclei, papillary infoldings that protrude into cystic spaces "
- (Papillary Cystadenoma Lymphomatosum)
-
Canalicular Adenoma
"Monomorphic Adenoma, minor salivary glands, upper lip, uniform columnar cells forming canal-like ductal structures with deeply basophilic nuclei"
-
Basal Cell Adenoma
"Monomorphic Adenoma, Benign, parotid gland, encapsulated or well-circumscribed, cords of basaloid cells arranged in a trabecular pattern"
-
Mucoepidermoid Carcinoma
"Malignant, parotid gland, mixture of mucus-producing cells and squamous (epithelial cells), intermediate cells (progenitor cells), solid islands of squamous and intermediate cells, pleomorphism and mitotic activity (High-Grade Tumor)"
-
Intraosseous Mucoepidermoid Carcinoma
"Malignant, salivary gland tumor within the jaw (intrabony), associated with impacted teeth or dentigerous cysts, prominent cyst formation, minimal cellular atypia, high proportion of mucous cells (Low-Grade Tumor)"
-
Acinic Cell Adenocarcinoma
"Malignant, serous acinar differentiation"
-
Malignant Mixed Tumors
"Malignant counterpart to benign mixed tumor or pleomorphic adenoma, �carcinoma ex pleomorphic adenoma� (Epithelial cells�malignant), areas of malignant degeneration of epithelial cells, cellular pleomorphism and abnormal mitotic activity"
-
Adenoid Cystic Carcinoma
"Malignant, submandibular gland, mixture of myoepithelial cells and ductal cells; Three histo patterns: Cribriform, tubular, solid; perineural invasion (not pathognomonic)�pain due to cells around nerve bundle, bad prognosis over time"
-
Polymorphous Low-Grad Adenocarcinoma
"Malignant, Minor salivary glands, Cribriform pattern mimics adenoid cystic carcinoma, perineural invasion common, good prognosis"
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