Department of Oral Pathology


OPTH 631 - ORAL & MAXILLOFACIAL PATHOLOGY


OPTH 631 Clinical Pathologic Conference #12
December 6, 2000

 

Case #1:

This middle-aged man presented has: A 3.0 x 2.5 cm sessile, dome shaped mass just to the left of the midline on the dorsum of the tongue. The surface is focally eroded with patchy white areas.

A reasonable clinical differential Dx:


Case #2:

This middle-aged man has: An ill-defined radiolucency between the roots of #20 and #21 appoximately 1.8 x 0.8 cm

A reasonable radiographic differential Dx:


Case #3:

This 9 year old boy has: A 1.0 x 0.8 cm pale, smooth surfaced swelling on the anterior ventral tongue (figure a).

A reasonable clinical differential Dx:

*In reference to the question that was asked in class about the oral lesions associated with cunninglingus: They are generally seen in an older individual than this and tend to be on the lingual frenum due to trauma from the lower anterior teeth secondary to repetitive tongue hyperextention. Acute lesions present as ulcers or erosions (figure b). Lesions secondary to chronic activity may present as a horizontal band of fibrosis (figure c). Slides c/o Dr. Doug Damm.


Case #4:

This elderly lady has: Redness and generalized fissuring of the dorsum of the tongue.

This represents:

The syndrome that is may be associated with is:

Fissured tongue is often associated with:


Case #5:

This 62 year black woman has: Generalized, multifocal, ill-defined radiopacities of the maxillary and mandibular alveoli.

A reasonable radiographic differential Dx:


Case #6:

This 30 year old man has: A 0.8 x 0.6 centimeter pale nodule of the interdental papilla between teeth #30 & #31..

A reasonable clinical differential Dx:

*top choices because of pale color.

This case is c/o Dr. Mincey (it was focal mucinosis)

Last updated December 7, 2000 by Tom Maier. Please send comments, questions, and reports of problems to maiert@ohsu.edu