BDS10015 Histopathology of Benign Oral Soft Tissue Lesions
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Questions and Answers

Which of the following is a common site for keratoacanthoma?

  • Outer edge of the vermillion border of lips (correct)
  • Hard palate
  • Buccal mucosa
  • Floor of the mouth

What is the etiology of keratoacanthoma?

  • Viral factors (HPV 26, 37) (correct)
  • Bacterial infection
  • Trauma
  • Fungal infection

How does keratoacanthoma clinically present?

  • Painful with rapid growth
  • Symptomatic with ulceration
  • Asymptomatic, more common in older males (correct)
  • Asymptomatic, more common in females

What is the histopathological feature of keratoacanthoma?

<p>Well-differentiated squamous cell carcinoma (A)</p> Signup and view all the answers

Which of the following is NOT a possible etiology for keratoacanthoma?

<p>Bacterial infection (D)</p> Signup and view all the answers

What is the typical age group for the occurrence of keratoacanthoma?

<p>Older adults, especially males (D)</p> Signup and view all the answers

Which of the following is a possible cause for keratoacanthoma?

<p>Actinic radiation (B)</p> Signup and view all the answers

What distinguishes keratoacanthoma from squamous cell carcinoma histopathologically?

<p>Presence of cystic spaces lined by endothelial cells (D)</p> Signup and view all the answers

Which statement about keratoacanthoma is true?

<p>$ ext{5-10} ext{%}$ of keratoacanthomas regress spontaneously without treatment. (D)</p> Signup and view all the answers

What is a distinguishing feature of keratoacanthoma?

<p>$ ext{It}$ has a central crater filled with keratin. (D)</p> Signup and view all the answers

What differentiates keratoacanthoma from squamous cell carcinoma?

<p>$ ext{Keratoacanthoma}$ does not metastasize, whereas squamous cell carcinoma does. (B)</p> Signup and view all the answers

What distinguishes keratoacanthoma from basal cell carcinoma?

<p>$ ext{Keratoacanthoma}$ resembles well-differentiated squamous cell carcinoma, while basal cell carcinoma does not. (C)</p> Signup and view all the answers

Which of the following benign neoplasms is restricted to the craniofacial skeleton and is rare in other bones?

<p>Osteoma (A)</p> Signup and view all the answers

Which of the following benign neoplasms is characterized by variable abnormalities in bone, skin, and teeth as well as colorectal polyps?

<p>Osteoma (D)</p> Signup and view all the answers

Why is it wise to consider chondroma of the jaw as a potential chondrosarcoma?

<p>Because the microscopic distinction between benign chondroma and low-grade chondrosarcoma of the jaw is difficult (A)</p> Signup and view all the answers

Which condition presents as a tumor-like condition characterized by the presence of normal tissue in an exaggerating manner?

<p>Hamartoma (C)</p> Signup and view all the answers

Which benign neoplasm is a benign vascular hamartoma affecting the mucosa and is considered as a tumor of infancy that shows rapid growth, followed by gradual involution?

<p>Haemangioma (C)</p> Signup and view all the answers

What is the most common site of lymphangioma intraorally?

<p>Anterior 2/3 of the tongue (A)</p> Signup and view all the answers

Which benign neoplasm consists of small blood spaces lined by endothelial cells that are separated by connective tissue stroma?

<p>Haemangioma (C)</p> Signup and view all the answers

Which benign neoplasm arises on the surface of bone causing facial deformity?

<p>Osteoma (A)</p> Signup and view all the answers

Which benign hamartomatus tumorlike growth of lymphatic vessels has a marked predilection to the head & neck?

<p>Lymphangioma (A)</p> Signup and view all the answers

What is characteristic of Gardner’s syndrome?

<p>High risk for transformation of colorectal polyps into adenocarcinoma if untreated (C)</p> Signup and view all the answers

In which condition does a vascular malformation persist throughout life and is present at birth?

<p>Sturge-Weber disease (D)</p> Signup and view all the answers

What is characteristic of a cavernous haemangioma?

<p>Consists of large blood spaces that may show papillary enfolding (A)</p> Signup and view all the answers

Which lesion shows rapid enlargement to its full size of 1-2 cm over 6 weeks?

<p>Keratoacanthoma (D)</p> Signup and view all the answers

What is the characteristic feature of Antoni type A in Schwanoma histopathology?

<p>Palisading arrangement of cells and their nuclei in rows (B)</p> Signup and view all the answers

Which benign neoplasm is believed to be reactive hyperplasia of fibrous connective tissue rather than a true neoplasm?

<p>Fibroma (D)</p> Signup and view all the answers

Which benign neoplasm appears as a sessile mass affecting both males and females at middle age?

<p>Granular cell tumor (D)</p> Signup and view all the answers

What is the most common site for Granular cell tumor?

<p>Tongue (B)</p> Signup and view all the answers

Which benign neoplasm is a slowly growing, asymptomatic, soft swelling with a smooth surface?

<p>Lipoma (A)</p> Signup and view all the answers

What is the differential diagnosis for Granular cell tumor?

<p>Congenital epulis of newborn (B)</p> Signup and view all the answers

Which benign neoplasm is composed of interlacing bundles of spindle-shaped cells with wavy nuclei in delicate connective tissue?

<p>Neurofibroma (A)</p> Signup and view all the answers

What is the lab finding associated with Melanotic neuroectodermal tumor of infancy?

<p>High levels of urinary vanillylmandelic acid (B)</p> Signup and view all the answers

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