Podcast
Questions and Answers
What type of tumors originate from a distant primary tumor?
What type of tumors originate from a distant primary tumor?
- Primary tumors
- Secondary tumors (correct)
- Benign tumors
- Mixed tumors
Malignant tumors are typically encapsulated and have well-defined borders.
Malignant tumors are typically encapsulated and have well-defined borders.
False (B)
List one general clinical feature of malignant lesions.
List one general clinical feature of malignant lesions.
Pain or rapid swelling
Malignant tumors that arise from tissue with an uncontrolled growth are known as ________ tumors.
Malignant tumors that arise from tissue with an uncontrolled growth are known as ________ tumors.
Match the type of malignant lesion to its origin:
Match the type of malignant lesion to its origin:
Which common jaw malignancy is more prevalent in the posterior regions of the jaws?
Which common jaw malignancy is more prevalent in the posterior regions of the jaws?
Dysphonia is a possibly significant symptom associated with malignant lesions.
Dysphonia is a possibly significant symptom associated with malignant lesions.
What is the typical age range for the occurrence of most oral cancers?
What is the typical age range for the occurrence of most oral cancers?
Where are large malignant lesions commonly located?
Where are large malignant lesions commonly located?
Malignant lesions typically have well-defined borders.
Malignant lesions typically have well-defined borders.
What symptoms do patients with malignant lesions often report?
What symptoms do patients with malignant lesions often report?
Malignant lesions may lead to the destruction of adjacent normal cortical boundaries, such as the floor of the _______.
Malignant lesions may lead to the destruction of adjacent normal cortical boundaries, such as the floor of the _______.
Which of the following is NOT a common feature of squamous cell carcinoma?
Which of the following is NOT a common feature of squamous cell carcinoma?
Match the types of lesions with their characteristics:
Match the types of lesions with their characteristics:
Teeth affected by malignant lesions may appear to float in radiolucent soft tissue.
Teeth affected by malignant lesions may appear to float in radiolucent soft tissue.
What characteristic does the internal structure of malignant lesions typically have?
What characteristic does the internal structure of malignant lesions typically have?
What characteristic may lead to a misdiagnosis of certain lesions as periapical cysts or granulomas?
What characteristic may lead to a misdiagnosis of certain lesions as periapical cysts or granulomas?
Squamous cell carcinoma (SCC) can originate from the maxillary sinus.
Squamous cell carcinoma (SCC) can originate from the maxillary sinus.
What is the most common complaint associated with central mucoepidermoid carcinoma?
What is the most common complaint associated with central mucoepidermoid carcinoma?
The internal structure of lesions related to squamous cell carcinoma is typically __________.
The internal structure of lesions related to squamous cell carcinoma is typically __________.
Match the following features with their corresponding types of squamous cell carcinoma (SCC):
Match the following features with their corresponding types of squamous cell carcinoma (SCC):
What is an effect of SCC lesions on nearby structures?
What is an effect of SCC lesions on nearby structures?
Advanced lesions of SCC are usually well-defined with an even corticated margin.
Advanced lesions of SCC are usually well-defined with an even corticated margin.
What may be a clinical feature of SCC originating in the maxillary sinus?
What may be a clinical feature of SCC originating in the maxillary sinus?
What characteristic internal structure is commonly seen in the lesion described?
What characteristic internal structure is commonly seen in the lesion described?
Paresthesia of the inferior alveolar nerve is a common symptom of benign odontogenic tumors.
Paresthesia of the inferior alveolar nerve is a common symptom of benign odontogenic tumors.
What is a defining factor for an ameloblastoma to be classified as malignant?
What is a defining factor for an ameloblastoma to be classified as malignant?
The lesions are typically 3-4 times more common in the __________ compared to the maxilla.
The lesions are typically 3-4 times more common in the __________ compared to the maxilla.
Which of the following features is least likely to indicate malignancy in a lesion?
Which of the following features is least likely to indicate malignancy in a lesion?
Match the following terms with their descriptions.
Match the following terms with their descriptions.
Teeth adjacent to the lesion are largely affected by the malignant process.
Teeth adjacent to the lesion are largely affected by the malignant process.
What is the chief differential diagnosis for lesions resembling mucoepidermoid carcinoma?
What is the chief differential diagnosis for lesions resembling mucoepidermoid carcinoma?
What is a common radiographic feature of malignant ameloblastoma?
What is a common radiographic feature of malignant ameloblastoma?
Metastatic malignancies in the jaws arise mainly from sites above the clavicle.
Metastatic malignancies in the jaws arise mainly from sites above the clavicle.
Where is malignant ameloblastoma more commonly located?
Where is malignant ameloblastoma more commonly located?
The internal structure of malignant ameloblastoma commonly gives the appearance of a ________ or soap bubble pattern.
The internal structure of malignant ameloblastoma commonly gives the appearance of a ________ or soap bubble pattern.
Match the following types of tumors with their common characteristics:
Match the following types of tumors with their common characteristics:
Which metastatic lesion is most likely to occur in the jaw?
Which metastatic lesion is most likely to occur in the jaw?
What symptom might patients with metastatic malignancy in the jaw complain of?
What symptom might patients with metastatic malignancy in the jaw complain of?
Men have a higher incidence of metastatic tumors in the jaw than women.
Men have a higher incidence of metastatic tumors in the jaw than women.
Which site is the most common for metastatic lesions in the jaw?
Which site is the most common for metastatic lesions in the jaw?
Metastatic lesions in the mandible are typically unilateral.
Metastatic lesions in the mandible are typically unilateral.
What internal structure characteristics are generally observed in malignant lesions?
What internal structure characteristics are generally observed in malignant lesions?
The abnormal increase in the width of the periodontal ligament space due to malignant tumors is usually caused by ________.
The abnormal increase in the width of the periodontal ligament space due to malignant tumors is usually caused by ________.
Which of the following features is typical of malignancy in relation to surrounding structures?
Which of the following features is typical of malignancy in relation to surrounding structures?
Match the type of lesion with its characteristic feature:
Match the type of lesion with its characteristic feature:
Sclerotic metastatic lesions can cause a ragged radiolucent appearance.
Sclerotic metastatic lesions can cause a ragged radiolucent appearance.
Identify a type of cancer that may stimulate a periosteal reaction with a spiculated pattern.
Identify a type of cancer that may stimulate a periosteal reaction with a spiculated pattern.
Flashcards
Malignant tumor
Malignant tumor
Uncontrolled growth of tissue that is locally invasive, has high cellular anaplasia, and can spread to lymph nodes or distant organs.
Primary tumor
Primary tumor
A malignant tumor starting in the body's original location, such as the oral cavity.
Metastatic malignancy
Metastatic malignancy
A malignant tumor that started in another part of the body and spread to a new location, like the jaw.
What causes malignant tumors?
What causes malignant tumors?
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Clinical feature of malignant tumor
Clinical feature of malignant tumor
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Radiographic appearance of a malignant lesion
Radiographic appearance of a malignant lesion
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Where malignant tumors are found
Where malignant tumors are found
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Carcinoma
Carcinoma
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Symptoms of Oral Squamous Cell Carcinoma
Symptoms of Oral Squamous Cell Carcinoma
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Locations of Oral Squamous Cell Carcinoma
Locations of Oral Squamous Cell Carcinoma
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Radiographic Features of Oral Squamous Cell Carcinoma: Periphery and Shape
Radiographic Features of Oral Squamous Cell Carcinoma: Periphery and Shape
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Radiographic Features of Oral Squamous Cell Carcinoma: Internal Structure
Radiographic Features of Oral Squamous Cell Carcinoma: Internal Structure
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Effect of Oral Squamous Cell Carcinoma on Teeth
Effect of Oral Squamous Cell Carcinoma on Teeth
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Effects of Oral Squamous Cell Carcinoma on the Mandibular Canal
Effects of Oral Squamous Cell Carcinoma on the Mandibular Canal
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Effects of Oral Squamous Cell Carcinoma on Surrounding Structures
Effects of Oral Squamous Cell Carcinoma on Surrounding Structures
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Differentiating Osteomyelitis from Squamous Cell Carcinoma
Differentiating Osteomyelitis from Squamous Cell Carcinoma
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Squamous Cell Carcinoma (SCC)
Squamous Cell Carcinoma (SCC)
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Primary Intraosseous SCC
Primary Intraosseous SCC
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SCC Originating in Cyst
SCC Originating in Cyst
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SCC Originating in the Maxillary Sinus
SCC Originating in the Maxillary Sinus
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Central Mucoepidermoid Carcinoma
Central Mucoepidermoid Carcinoma
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Central Mucoepidermoid Carcinoma - Symptoms
Central Mucoepidermoid Carcinoma - Symptoms
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Aggressive Lesions Radiographic Appearance
Aggressive Lesions Radiographic Appearance
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Non-Aggressive Lesions Radiographic Appearance
Non-Aggressive Lesions Radiographic Appearance
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Malignant Ameloblastoma
Malignant Ameloblastoma
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Common Primary Tumors
Common Primary Tumors
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Clinical Features of Malignant Ameloblastoma
Clinical Features of Malignant Ameloblastoma
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Radiographic Features of Malignant Ameloblastoma
Radiographic Features of Malignant Ameloblastoma
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Internal Structure of Malignant Ameloblastoma
Internal Structure of Malignant Ameloblastoma
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Location of Malignant Ameloblastoma
Location of Malignant Ameloblastoma
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Demographic Features of Metastatic Malignancy in the Jaw
Demographic Features of Metastatic Malignancy in the Jaw
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Metastatic tumor in the jaw
Metastatic tumor in the jaw
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Common sites of metastatic tumors in the jaw
Common sites of metastatic tumors in the jaw
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Mimicking other conditions
Mimicking other conditions
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Tumor shape and margin
Tumor shape and margin
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Tumor effect on teeth
Tumor effect on teeth
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Sclerotic metastatic tumors
Sclerotic metastatic tumors
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Spiculated pattern in X-rays
Spiculated pattern in X-rays
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Comparing tumor to inflammation
Comparing tumor to inflammation
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Mucoepidermoid Carcinoma
Mucoepidermoid Carcinoma
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Mucoepidermoid Carcinoma: Effect on Surrounding Structures
Mucoepidermoid Carcinoma: Effect on Surrounding Structures
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Mucoepidermoid Carcinoma: Differential Diagnosis
Mucoepidermoid Carcinoma: Differential Diagnosis
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Malignant Ameloblastoma vs. Ameloblastic Carcinoma
Malignant Ameloblastoma vs. Ameloblastic Carcinoma
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Malignant Ameloblastoma: Behavior
Malignant Ameloblastoma: Behavior
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Ameloblastic Carcinoma: Cellular Features
Ameloblastic Carcinoma: Cellular Features
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Mucoepidermoid Carcinoma: Cortication
Mucoepidermoid Carcinoma: Cortication
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Mucoepidermoid Carcinoma: Location
Mucoepidermoid Carcinoma: Location
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Study Notes
Radiographic Interpretation of Malignant Lesions (Part I)
- Malignant tumors are uncontrolled tissue growth, more invasive, have higher cellular abnormality (anaplasia), and can spread (metastasize)
- Primary tumors originate directly, secondary/metastatic tumors from elsewhere
- Common jaw malignancies are categorized as: carcinomas (epithelial origin), metastatic lesions, sarcomas (mesenchymal origin), and hematopoietic system malignancies
- General clinical features include pain/swelling with no dental cause, ulceration with indurated/rolled border (leading to bone exposure), tooth displacement/loosening, lymphadenopathy, and foul smell.
- Location of primary and metastatic malignant tumors can be anywhere in the oral and maxillofacial region, commonly in the tongue, floor of the mouth, tonsils, lips, soft palate, gingiva, mandible, and maxilla.
- Metastatic tumors are often in the posterior mandible/maxilla.
- The periphery of a malignant lesion is often ill-defined, lacking cortication or encapsulation. It infiltrates, extending from a bone destruction area and unevenly into normal bone.
- The internal structure is often radiolucent. Some tumors can stimulate bone formation (appearing as sclerotic osseous structure in the internal part)
- Malignant tumors cause effects on surrounding structures including alveolar bone destruction, cortical boundary damage, and potential for tooth displacement. Internal trabecular bone and dental follicles are also affected.
- Tumors can be found in the maxillary antrum or through periodontal space, which might lead to abnormal widening
- Some tumors can stimulate unusual ossification (e.g., hair-on-end, sunburst patterns) if inflammation coexists, similar to inflammatory reactions
- Malignant tumors are characterized by a rapid growth, leading to invasion through easy pathways (e.g., maxillary antrum, periodontal ligament) and destruction of lamina dura
- Different malignancies exhibit different patterns (e.g., ill-defined borders, infiltrative patterns)
- SCC originates in soft tissue, most frequently in persons older than 50, presenting as white, red, or mixed irregular lesions with central ulceration, rolled edges, and infiltration into adjacent structures (muscle or bone)
- Pain, lymphadenopathy, and other symptoms (e.g., paresthesia, pain, foul smell) can accompany SCC
- Primary intraosseous carcinoma originates within the jaw bone, without connection to oral mucosa.
- It often appears later in life (fourth to eighth decades), as rounded/irregular radiolucent shapes, causing bone erosion and destruction.
- Central Mucoepidermoid carcinoma: odontogenic epithelial tumor, often painless swelling, most frequently in the mandible,
- Central Mucoepidermoid carcinoma: unilocular or multilocular, well-defined to ill-defined cortication, often having a soap-bubble/honeycomb appearance, possibly eroding adjacent bone.
- Differential diagnoses of these issues may include other types of malignancies (including metastatic lesions), benign odontogenic tumors, or inflammatory disorders like osteomyelitis
Radiographic Interpretation of Malignant Lesions (Part II)
- Metastatic lesions in the jaws, less than 1%, often originating from breast, lung, prostate, colon, rectum.
- Can cause pathological fracture/hemorrhage .
- Posterior areas are most frequently affected for metastatic disease in the jaw.
- Internal and other structures, including the maxillary sinus, alveolus, or periodontal ligament, can be affected.
- Other possible diagnostic considerations include multiple myeloma, inflammatory conditions, and other bone lesions.
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