Hodgkin's Lymphoma
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Questions and Answers

What is the typical presenting sign of lymphoma?

  • A painful, ulcerated lesion in the oral cavity
  • A tender, diffuse swelling in the oral cavity
  • A persistently enlarging, non-tender, discrete mass in one lymph node region (correct)
  • A radiolucency in the bone with a well-defined border
  • What is the characteristic histopathological feature of Hodgkin's lymphoma?

  • Presence of binucleate cells with abundant cytoplasm and two large nucleoli (correct)
  • Sheets of uniform, well-differentiated cells
  • Infiltrative, ragged radiolucency in the bone
  • Ill-defined, irregular margins in the lymph node
  • What is the radiographic feature of lymphoma of bone?

  • An ill-defined or ragged radiolucency (correct)
  • A periosteal reaction with a sunburst appearance
  • A well-defined, radiopaque lesion
  • A diffuse, mottled radiolucency
  • What is the clinical feature of lymphoma in the oral cavity?

    <p>A nontender, diffuse swelling with a boggy consistency</p> Signup and view all the answers

    What is the characteristic of low-grade lesions in Non-Hodgkin's lymphoma?

    <p>Well-differentiated, small cells with varying degrees of differentiation</p> Signup and view all the answers

    What is the consequence of untreated lymphoma of bone?

    <p>Expansion of bone and eventual perforation of the cortical plate</p> Signup and view all the answers

    What is the characteristic of Reed-Sternberg cells?

    <p>Binucleate cells with abundant cytoplasm and two large nucleoli</p> Signup and view all the answers

    What is the progression of lymph node involvement in lymphoma?

    <p>Enlarging lymph nodes that become matted and fixed over time</p> Signup and view all the answers

    What is the primary purpose of staging a suspected lesion before biopsy?

    <p>To prevent distortion of the lesion and lymph nodes</p> Signup and view all the answers

    What is the significance of a TX classification in the TNM system?

    <p>The primary tumor cannot be assessed</p> Signup and view all the answers

    What is the characteristic radiological sign of destruction of underlying bone in carcinoma?

    <p>Ill-defined, ragged margin with moth-eaten appearance</p> Signup and view all the answers

    What is the definition of a T3 tumor in the TNM system?

    <p>Tumor size greater than 4 cm in diameter</p> Signup and view all the answers

    What is the significance of perineural invasion in carcinoma?

    <p>It may cause paraesthesia</p> Signup and view all the answers

    What is the definition of an N2b lymph node in the TNM system?

    <p>Clinically palpable, ipsilateral node between 3-6 cm in diameter</p> Signup and view all the answers

    What is the purpose of clinical staging in carcinoma?

    <p>To predict the prognosis and plan treatment</p> Signup and view all the answers

    What is the characteristic clinical feature of an ulcerated carcinoma?

    <p>A non-healing ulcer with indurated base</p> Signup and view all the answers

    What is a common clinical feature of Ewing sarcoma?

    <p>Pain and swelling</p> Signup and view all the answers

    What is a characteristic histopathological feature of Kaposi Sarcoma?

    <p>Abnormally dense and irregular blood vessels with slit-like spaces</p> Signup and view all the answers

    What is the genetic abnormality associated with Ewing sarcoma?

    <p>Chromosomal translocation involving EWSR1 and FLI1</p> Signup and view all the answers

    What is the function of melanocytes?

    <p>To produce melanin for skin, hair, and eye color</p> Signup and view all the answers

    What is a common site of involvement in Mucosal Melanoma?

    <p>Mandible</p> Signup and view all the answers

    What is a characteristic radiological sign of Mucosal Melanoma?

    <p>None of the above</p> Signup and view all the answers

    What is a common symptom of Kaposi Sarcoma?

    <p>Bleeding and ulceration</p> Signup and view all the answers

    What is the behavior of Kaposi Sarcoma?

    <p>It rarely metastasizes</p> Signup and view all the answers

    What is the most significant prognostic factor in oral cancer?

    <p>Tumor size and nodal status</p> Signup and view all the answers

    Which of the following is a major risk factor that adversely influences prognosis in oral cancer?

    <p>Non-cohesive pattern of invasion</p> Signup and view all the answers

    What is the most common site of distant metastasis in oral cancer?

    <p>Lungs</p> Signup and view all the answers

    What is the primary mechanism of tumor-induced death in oral cancer?

    <p>Tumor load and blocking of nutrients to normal cells</p> Signup and view all the answers

    What is the common complication of radiation therapy in oral cancer?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is a common comorbidity in patients with oral squamous cell carcinoma?

    <p>All of the above</p> Signup and view all the answers

    What is the characteristic of lymph nodes with metastasis in oral cancer?

    <p>Firm to hard, enlarged, and fixed</p> Signup and view all the answers

    What is the treatment approach for oral cancer?

    <p>Combination of wide surgical excision and radiation therapy</p> Signup and view all the answers

    Which risk factors increase the likelihood of developing osteosarcoma?

    <p>Bone irradiation and Paget’s disease of bone</p> Signup and view all the answers

    What clinical sign might indicate involvement of the inferior alveolar nerve in mandibular osteosarcoma?

    <p>Paraesthesia</p> Signup and view all the answers

    What term is used to describe the radiographic 'sunburst' appearance seen in osteosarcomas?

    <p>Sub-periosteal bone formation</p> Signup and view all the answers

    Which radiographic sign involves symmetric widening of the periodontal ligament space?

    <p>Garrington sign</p> Signup and view all the answers

    What distinguishes the histopathology of osteosarcoma?

    <p>Production of osteoid tissue by malignant mesenchymal cells</p> Signup and view all the answers

    Which radiographic presentation is most influenced by the amount of bone formation in an osteosarcoma lesion?

    <p>Radiopaque, mixed radiopaque and radiolucent, or entirely radiolucent lesions</p> Signup and view all the answers

    Which of the following is a clinical feature of maxillary osteosarcoma?

    <p>Nasal obstruction</p> Signup and view all the answers

    What is identified by the term Codman’s triangle in osteosarcoma radiographs?

    <p>Triangular ridge of new bone formation</p> Signup and view all the answers

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