Oncology and Odontogenic Tumors Overview
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Questions and Answers

What is the other term for Adenomatoid Odontogenic Tumor?

  • Fibromyxoma
  • Adenoameloblastoma (correct)
  • Calcifying Epithelial Odontogenic Tumor
  • Cementoblastoma
  • Which of these options are considered potential sources of Ameloblastoma?

  • Enamel Organ
  • Odontogenic rest
  • Reduced enamel epithelium
  • Epithelial lining of odontogenic cyst
  • All of the above (correct)
  • Ameloblastoma, a tumor of the oral cavity, is considered the most aggressive type of tumor in the oral cavity.

    True

    What is the mean age of patients with Ameloblastoma?

    <p>40 years</p> Signup and view all the answers

    What is the primary location of an Ameloblastoma?

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

    Which of the following is NOT a common clinical presentation of Ameloblastoma?

    <p>Sudden onset of facial pain</p> Signup and view all the answers

    What are the two main histopathological subtypes of Ameloblastoma?

    <p>Follicular and Plexiform</p> Signup and view all the answers

    What is the common histological type of Ameloblastoma?

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

    The "Fish Net Pattern" is a characteristic feature of the Plexiform Ameloblastoma.

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

    What is the usual radiographic appearance of a Peripheral Ameloblastoma?

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

    Conservative treatment is typically preferred for peripheral ameloblastoma.

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

    What is the treatment of choice for large or aggressive Ameloblastoma?

    <p>Surgical excision</p> Signup and view all the answers

    Radiotherapy is a commonly used treatment for Ameloblastoma due to its effectiveness.

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

    What is the recurrence rate of ameloblastoma after curettage?

    <p>50-90%</p> Signup and view all the answers

    What is another term for Calcifying Epithelial Odontogenic Tumor?

    <p>Pindborg Tumor</p> Signup and view all the answers

    Where is Calcifying Epithelial Odontogenic Tumor (CEOT) primarily located?

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

    What is the typical radiographic appearance of CEOT (Calcifying Epithelial Odontogenic Tumor)?

    <p>Multilocular often causing cortical expansion</p> Signup and view all the answers

    Which of the following is NOT a differential diagnosis for CEOT?

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

    Treatment is always required for CEOT.

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

    What is another term for Periapical Cementoosseous Dysplasia?

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

    What is the primary location of Periapical Cementoosseous Dysplasia?

    <p>Mandible, anterior periapical region</p> Signup and view all the answers

    Periapical Cementoosseous Dysplasia most commonly affects males.

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

    What is the typical radiographic pattern of Cementoameloblastoma?

    <p>Opaque lesion replacing the root of the tooth</p> Signup and view all the answers

    Cementoameloblastoma is a malignant tumor.

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

    What is the standard treatment for Cementoameloblastoma?

    <p>Extraction of the tooth</p> Signup and view all the answers

    Clear Cell Odontogenic Tumor is a common neoplasm of the mandible and maxilla.

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

    Which of the following is a common feature of Clear Cell Odontogenic Tumor?

    <p>Local aggression</p> Signup and view all the answers

    Clear Cell Odontogenic Tumor frequently metastasizes to other organs.

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

    Odontogenic Myxoma is a benign neoplasm.

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

    Which of the following accurately describes the radiographic appearance of Odontogenic Myxoma?

    <p>Multilocular, often with a honeycombed appearance</p> Signup and view all the answers

    Central Odontogenic Fibroma primarily affects the maxilla.

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

    The treatment of choice for Central Odontogenic Fibroma is surgical excision.

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

    The prognosis for Central Odontogenic Fibroma is generally poor.

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

    Study Notes

    Oncology Definition

    • Study of inflammatory growths like cells, neutrophils, and lymphocytes
    • Deals with diseases like tumors and cancers

    Odontogenic Tumors

    • Originate from dental organs or dental lamina
    • Types:
      • Epithelial Odontogenic Tumor
      • Mesenchymal Odontogenic Tumor
      • Mixed Odontogenic Tumor

    Ameloblastoma

    • Aggressive oral cavity tumor
    • Originates from epithelium that forms teeth
    • Possible sources: enamel organ, dental rests (rests of Malassez, rests of Serres), reduced enamel epithelium (REE), epithelial lining of odontogenic cysts (especially dentigerous cysts)
    • Mechanism for gaining growth advantage:
      • overexpression of TNF-α
      • interface proteins (FGF)
      • anti-apoptotic proteins (Bcl-2, Bcl-x1)
      • matrix metalloproteinases (MMPs)
    • Location: mandible and maxilla

    Clinical Features of Ameloblastoma

    • Usually asymptomatic
    • Often discovered during routine radiographic exams
    • Possible signs: jaw expansion, movement or malocclusion of teeth

    Biological Subtypes of Ameloblastoma

    • Peripheral (extraosseous):
      • May occur in gingiva or buccal mucosa
      • More common in older patients (40-60 years of age)
      • May arise from rests of Serres
      • Less likely to recur

    Cystic Ameloblastoma

    • Formerly known as unicystic ameloblastoma
    • High recurrence rate (40%)
    • Common in younger patients (mean age 35)
    • May exhibit cortical perforation
    • Should be differentiated from reactive epithelial changes in radicular cysts

    Malignant Variants

    • Relatively common in younger patients (30 years)
    • Can metastasize to local lymph nodes or distant organs

    Malignant Ameloblastoma

    • Microscopically well-differentiated primary and metastatic lesions

    Ameloblastic Carcinoma

    • Microscopically less-differentiated primary and metastatic lesions
    • Characterized by marked nuclear atypia and numerous mitotic figures

    Sinonasal Ameloblastoma

    • Mean age: 61
    • Predominantly affects males
    • Symptoms include nasal obstruction and epistaxis (nosebleeds)

    Other Odontogenic Tumors

    Detailed information on other odontogenic tumor subtypes is covered in subsequent pages, including their specific clinical features, radiographic appearances, histology, and treatment.

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    Description

    This quiz covers key concepts in oncology, focusing on inflammatory growths such as tumors and cancers. It provides detailed insights into odontogenic tumors like ameloblastoma, including their origins, clinical features, and mechanisms of growth. Test your understanding of these important topics in dental pathology.

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