Oral Cancer: Metastasis and Treatment Quiz
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Questions and Answers

What is the most common type of cancer in the oral cavity?

  • Fibrosarcoma
  • Lymphoma
  • Squamous cell carcinoma (correct)
  • Kaposi's sarcoma
  • Which type of neoplasm originates from squamous epithelium and accounts for about 90% of all head and neck cancers?

  • Osteosarcoma
  • Chondrosarcoma
  • Squamous cell carcinoma (correct)
  • Fibrosarcoma
  • Which type of neoplasm represents the second leading cause of death globally?

  • Kaposi's sarcoma
  • Melanoma
  • Lymphoma
  • Squamous cell carcinoma (correct)
  • What is the etiology of squamous cell carcinoma?

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

    Which type of cancer is a malignant neoplasm of mesenchymal origin?

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

    Which type of cancer accounts for more than 90% of all head and neck cancers?

    <p>Squamous cell carcinoma</p> Signup and view all the answers

    Which oral tumor is characterized by the presence of Reed-Sternberg cells in a background rich in inflammatory cells?

    <p>Hodgkin’s lymphoma</p> Signup and view all the answers

    Which variant of Burkitt lymphoma commonly occurs in malaria-endemic regions of the world?

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

    What is the essential microscopic criterion for diagnosing malignant mesenchymal cells?

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

    What tumor is characterized by numerous wide vascular channels?

    <p>Telangiectatic osteosarcoma</p> Signup and view all the answers

    What malignant tumor is associated with human herpes virus 8 (HHV8)?

    <p>Kaposi Sarcoma</p> Signup and view all the answers

    Which tumor may appear as nontender, diffuse swellings with boggy consistency in the oral cavity?

    <p>Non-Hodgkin’s lymphoma</p> Signup and view all the answers

    What is the most common histological type of Non-Hodgkin’s lymphoma?

    <p>Diffuse large B cell lymphoma</p> Signup and view all the answers

    What are the clinical features of Hodgkin’s lymphoma?

    <p>Persistently enlarging non tender discrete mass or masses in one lymph node region</p> Signup and view all the answers

    What are the radiographic features of Burkitt lymphoma?

    <p>Ragged radiolucency</p> Signup and view all the answers

    Which tumor may cause expansion of bone and eventually perforation of the cortical plate and production of a soft tissue swelling if left untreated?

    <p>Non-Hodgkin’s lymphoma</p> Signup and view all the answers

    What are the clinical features of Chondrosarcoma?

    <p>Rare in jaws and facial bones, causing nasal obstruction and tooth loosening</p> Signup and view all the answers

    What is the oral manifestation commonly seen in AIDS-related Kaposi Sarcoma?

    <p>Multiple red to violaceous macules or papules that may progress to plaques or nodules</p> Signup and view all the answers

    What is the most common cause of death in oral cancer?

    <p>Progression of comorbidities</p> Signup and view all the answers

    Which gene mutations can render proto-oncogenes and tumor suppressor genes oncogenic?

    <p>Proto-oncogene and tumor suppressor gene mutations</p> Signup and view all the answers

    What is the most common malignant neoplasm in the oral cavity?

    <p>Squamous cell carcinoma</p> Signup and view all the answers

    What is the characteristic appearance of verrucous carcinoma?

    <p>Diffuse, white plaque with papillary surface projections</p> Signup and view all the answers

    Which lesion may harbor foci of invasive squamous cell carcinoma and requires adequate incisional biopsy and serial sections for diagnosis?

    <p>Verrucous carcinoma</p> Signup and view all the answers

    What distinguishes well-differentiated fibrosarcoma from poorly differentiated cases?

    <p>Variation in size and shape of cells</p> Signup and view all the answers

    What is a common clinical feature of osteosarcomas in the jaws?

    <p>Hard painful bony swelling</p> Signup and view all the answers

    What radiographic appearance is characteristic of osteosarcomas?

    <p>Formation of new bone perpendicular to the surface of bone</p> Signup and view all the answers

    What is the characteristic appearance of verrucous carcinoma histopathology?

    <p>Blunt-ended rete ridges and clefts filled with keratin</p> Signup and view all the answers

    What can increase the risk for developing osteosarcomas?

    <p>Paget's disease of bone</p> Signup and view all the answers

    What is the main characteristic of well-differentiated fibrosarcoma on histopathology?

    <p>Cells with little variation in size and shape</p> Signup and view all the answers

    What differentiates verrucous carcinoma from papillary squamous cell carcinoma?

    <p>Papillary surface and evident epithelial atypia</p> Signup and view all the answers

    What are the two main types of factors that work together to cause cancer?

    <p>Extrinsic and intrinsic factors</p> Signup and view all the answers

    How many genetic mutations does a cell need to accumulate to become 'initiated' as a cancer cell?

    <p>At least six genetic mutations</p> Signup and view all the answers

    In normal conditions, what do proto-oncogenes regulate?

    <p>Cell growth &amp; cell proliferation</p> Signup and view all the answers

    What do tumor suppressor genes do in normal conditions?

    <p>Repair damaged DNA, initiate apoptosis, and restrict the proliferation of cells</p> Signup and view all the answers

    Which of the following is a common site for oral mucosa cancer?

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

    What is a typical appearance of early lesions of oral mucosa cancer?

    <p>Speckled white patches</p> Signup and view all the answers

    What may be seen in a non-healing ulcer in oral mucosa cancer?

    <p>&quot;Rolled&quot; border</p> Signup and view all the answers

    Which factor is generally considered of little value in the diagnosis of early carcinoma?

    <p>&quot;Pain&quot;</p> Signup and view all the answers

    "Moth eaten radiolucency with ill-defined or ragged margin" is associated with:

    <p>&quot;Destruction of underlying bone&quot;</p> Signup and view all the answers

    What is the primary tumor size when it is 2-4 cms?

    <p>T2</p> Signup and view all the answers

    What does tumor grading based on microscopic examination determine?

    <p>Degree of differentiation and keratin production</p> Signup and view all the answers

    What is the second most common primary malignant bone tumor in pediatric patients?

    <p>Ewing sarcoma</p> Signup and view all the answers

    Which chromosomal translocation is involved in Ewing sarcoma?

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

    What is the characteristic histopathological feature of Ewing sarcoma?

    <p>Hypercellular sheets and nests of uniform small round cells</p> Signup and view all the answers

    What are the clinical features of mucosal melanoma?

    <p>Asymptomatic with dark brown to black macules, plaques or nodules</p> Signup and view all the answers

    What are the "ABCDE" clinical features used to identify mucosal melanoma?

    <p>Asymmetry, Border irregularity, Color variegation, Diameter &gt; 6 mm, Evolving</p> Signup and view all the answers

    What is the role of a melanocyte in the skin?

    <p>Protection of skin layers from sunlight damage</p> Signup and view all the answers

    What are the general characteristics of atypical spindle cells?

    <p>Increased mitotic activity and ill-defined cellular borders</p> Signup and view all the answers

    What distinguishes mucosal melanoma from benign melanocytic lesions?

    <p>&quot;ABCDE&quot; clinical features: Asymmetry, Border irregularity, Color variegation, Diameter &gt; 6 mm, Evolving</p> Signup and view all the answers

    What is responsible for the color of the skin, hair, and eyes?

    <p>$Melanin$</p> Signup and view all the answers

    What is the characteristic histopathological architecture of verrucous carcinoma?

    <p>No significant cellular atypia and a well-defined basement membrane</p> Signup and view all the answers

    Which neoplasms may occur in soft tissue?

    <p>Fibrosarcoma and lymphoma</p> Signup and view all the answers

    In which type of sarcoma are oral manifestations commonly seen in AIDS-related cases?

    <p>Kaposi sarcoma</p> Signup and view all the answers

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