oral exophytic lesions
TRANSCRIPT
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IN THE NAME OF GODDR SOODE JAFARI
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THEALGORITHYM
FOR DIAGNONSIS OF ORAL EXOPHYTIC LESIONS
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STEP 1 Onset and CourseA) Slow-growing masses: (duration of months to years)Inflammatory HyperplasiasHamartomsBeningn tumorsCysts
B) Moderately rapid-growing masses: ( weeks to about 2 months)
Inflammatory Hyperplasias Chronic infactionsCystsMalignant tumors
C) Rapidly growing masses (hours to days) Abscesses Infected cysts Melanoma Salivary retention phenomena HematomasBurkitt`s lymphoma
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STEP II source
A) Peripheral lesions Lesion Description B) Central lesions Radiologic Feature
Location
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Mobility
Peripheral lesions
central lesions Lesions with periosteal origin Lesions with invasion to the surrounded tissues
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Radiography
Uncertainty
1-Saucer shapes
2- PDL widening
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Osteogenic sarcoma The bandlike widening of the periodontal ligament spaces
Hemangiosarcoma.
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STEP III Lesion Description
Characteristics :
A) Surface
B) Base
C) Consistancy
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Smooth –sufaced masses
LESIONS Exceptions
1-Inflammatory hyperplasia Hormonal tumors,epulide fissurata, epulide granulomatosa, papillary hyper plasia and fibrous hyperplasia
2-Benign minor salivary gland tumorsEarly malignant salivary tumors
3-Benign and malignant mesenchymal tumors
4-Retention phenomena Mucoceles and ranulas
5-Hamartoms
Pyogenic granulomas, Giant cell fibromaEpulides fissurata occasionallyTraumatized lesions
Traumatized lesions
Highly malignant varietiesLate stages of less malignant varietiesTraumatized lesionsTraumatized lesions
Lymphangioma & Hemangioma, Granular cell tumor
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Papillomatous
Verrucous
Bosselated
Rough- surfaced massesPapillomasVerrucae vulgarisSeborrheic keratosisKeratoacanthomasVerrucous carcinomasExophytic carcinomasUlcerative carcinomasCondyloma latum
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C) Base
Nodular Dome shaped
Polypoid
Sessile Pedanculated
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D) Consistancy
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Clinical diagnosis of soft tissue tumors
Onset and Course
source
Lesion Descripti
on
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