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Oral Pathology: A Comprehensive Atlas and Text provides all the assistance you need to accurately identify even the most challenging lesions. Board certified in both oral pathology and oral medicine, Dr. Sook-Bin Woo draws on her extensive clinical experience to help you achieve diagnostic certainty. |
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By Sook-Bin Woo, DMD, MMSc, Assistant Professor, Harvard School of Dental Medicine, Brigham and Women's Hospital, Dental Services, Boston, MA |
Table of Contents:
1. Introduction
Anatomy
Teeth
Diagnosis and Management
Some Basic Guidelines
2. Developmental and Congenital Conditions
DIFFUSE WHITE LESIONS
White Sponge Nevus (Canon White Sponge Nevus)
Hereditary Benign Intraepithelial Dyskeratosis
Darier Disease (Keratosis Follicularis) and Warty Dyskeratoma
NODULAR OR TUMOR-LIKE LESIONS
Fordyce Granules, Sebaceous Hyperplasia and Adenoma
Congenital Granular Cell Tumor (Congenital Granular Cell Epulis)
Osseous and Cartilaginous Choristomas
Gingival Fibromatosis
Gastrointestinal and Brain Heterotopias
Lymphangioma of the Alveolar Ridge in Neonates
Lingual Thyroid
Leiomyomatous Hamartoma
CYSTIC LESIONS
Oral Lymphoepithelial Cyst (Benign Lymphoepithelial Cyst)
Epidermoid (Epithelial Inclusion) and Dermoid Cysts
Palatal and Gingival Cysts of the Neonate
Cyst of the Incisive Papilla
Nasolabial Cyst (Naso-Alveolar Cyst)
3. Non-infectious Papillary Lesions
Inflammatory Papillary Hyperplasia of the Palate
Verruciform Xanthoma
Juvenile Localized Spongiotic Gingival Hyperplasia
4. Bacterial, Viral, Fungal and Other Infectious Conditions
Actinomycosis
Candidiasis (Candidosis)
Infectious Granulomatous Inflammation
Herpesvirus Infections
-Herpes Simplex Virus Infection
-Hairy Leukoplakia
-Cytomegalovirus Infection
Human Papilloma Virus-related Benign Lesions
Syphilis
5. Fibrous, Gingival, Lipocytic Nodules and Miscellaneous Tumors
FIBROUS LESIONS
Fibroma ("Bite" or "Irritation" Fibroma, Fibro-Epithelial or Fibro-Vascular Polyp) and Giant Cell Fibroma
GINGIVAL NODULES
Reactive/Inflammatory Gingival Nodules
Diffuse/Multifocal Gingival Hyperplasia
GINGIVAL CYST OF THE ADULT
PERIPHERAL (EXTRA-OSSEOUS) ODONTOGENIC NEOPLASMS
Peripheral Odontogenic Fibroma
Peripheral Ameloblastoma
Peripheral Calcifying Cystic Odontogenic Tumor
METASTASES TO THE GINGIVA
DENTURE-ASSOCIATED INFLAMMATORY FIBROUS HYPERPLASIA (EPULIS FISSURATUM)
LIPOCYTIC LESIONS
Lipoma
OTHER UNCOMMON TUMORS
Myofibroma
TUMORS OF UNCERTAIN HISTOGENESIS
Ectomesenchymal Chondromyxoid Tumor of the Tongue
Solitary Fibrous Tumor
Oral Focal Mucinosis
6. Vascular, Neural and Muscle Tumors
Vascular lesions
Pyogenic Granuloma
Varix (Venous Lake) and Venous Malformation (Venous Anomaly)
Caliber-Persistent Labial Artery
Kaposi Sarcoma
Lymphatic Malformation ("Lymphangioma Circumscriptum")
Neural tumors
Traumatic Neuroma
Neurofibroma
Schwannoma
Solitary Circumscribed Neuroma (Palisaded Encapsulated Neuroma)
Granular Cell Tumor
Subgemmal Neurogenous Plaque (Sub-Epithelial Nerve Plexus)
Muscle tumors
Leiomyoma and Angio-Leiomyoma (Vascular Leiomyoma)
Adult Rhabdomyoma
Embryonal Rhabdomyosarcoma
7. Ulcerative and Inflammatory Conditions
ULCERATIVE CONDITIONS
Recurrent Aphthous Ulcers and Traumatic Ulcers
Traumatic Ulcerative Granuloma with Stromal Eosinophils, Eosinophilic Ulcer of Tongue
NON-SPECIFIC INFLAMMATORY CONDITIONS
Non-specific Irritant Contact Stomatitis
Frictional Blisters
Chronic Gingivitis
Foreign Body Gingivitis
8. Immune-mediated, Autoimmune and Granulomatous Conditions
Granulomatous inflammation
Foreign Body Granulomas
Orofacial Granulomatosis and Crohn Disease
PYOSTOMATITIS VEGETANS
Immune-mediated conditions
Benign Migratory Glossitis (Migratory Stomatitis; Geographic Tongue, Erythema Areata Migrans)
Non-Specific Hypersensitivity Reactions
Erythema Multiforme
Plasma Cell Orificial Mucositis (Plasma Cell Stomatitis, Mucous Membrane Plasmacytosis)
Lichen Planus/Lichenoid Mucositis
Autoimmune conditions
Mucous Membrane Pemphigoid
Pemphigus Vulgaris
Paraneoplastic Pemphigus
Lupus Erythematosus
Wegener Granulomatosis
9. Pigmented Lesions
EXOGENOUS PIGMENTATION
Amalgam Tattoo
Graphite Tattoo
Medication Induced Pigmentation
MELANOCYTIC PIGMENTATION
Oral Melanotic Macule
Post-inflammatory Hypermelaninosis
Melanoacanthosis (Melanoacanthoma)
Oral Melanocytic Nevus
Dysplastic Melanocytic Nevus and Mucosal Melanoma
NEUROECTODERMAL PIGMENTATION
Melanotic Neuroectodermal Tumor of Infancy
10. Reactive Keratotic Lesions (Nonleukoplakias)
WHITE LESIONS
REACTIVE LESIONS
Leukoedema
Contact Desquamation
FRICTIONAL/FACTITIAL KERATOSES
Morsicatio Mucosa Oris (Morsicatio Buccarum, Morsicatio Linguarum, Morsicatio Labiarum, Pathominia Mucosa Oris)
Benign Alveolar Ridge (Frictional) Keratosis (Oral Lichen Simplex Chronicus)
Non-Specific Benign Reactive Keratoses
TOBACCO-RELATED LESIONS
Smokeless Tobacco Lesion
Nicotinic Stomatitis (Stomatitis Nicotina)
SUBMUCOUS FIBROSIS
11. Leukoplakia, Oral Dysplasia and Squamous Cell Carcinoma
Leukoplakia, Erythroplakia, and Dysplasia
Human Papillomavirus-Associated Apoptotic Dysplasia
Squamous Cell Carcinoma
-Conventional Infiltrating Squamous Cell Carcinoma
-Sarcomatoid Squamous Cell Carcinoma
-Basaloid Squamous Cell Carcinoma
-Human Papillomavirus-Associated Oropharyngeal Nonkeratinizing Squamous Cell Carcinoma
-Adenoid Squamous Cell Carcinoma
-Adenosquamous Cell Carcinoma
-Verrucous Carcinoma
-Papillary Squamous Cell Carcinoma
-Cuniculate Carcinoma (Carcinoma Cuniculatum)
12. Inflammatory Salivary Gland Lesions
Mucocele
Salivary Duct Cyst (Salivary Retention Cyst, Sialocyst)
Sialolith (Salivary Calculus)
Cheilitis Glandularis (Stomatitis Glandularis, Cheilitis Glandularis Apostematosa)
Necrotizing Sialometaplasia
Subacute Necrotizing Sialadenitis
Autoimmune Sialadenitis
Adenomatoid (Acinar) Hyperplasia
Sclerosing Polycystic Sialadenosis
13. Salivary Gland Neoplasms
BENIGN SALIVARY GLAND NEOPLASMS
Pleomorphic Adenoma and Myoepithelioma
Canalicular Adenoma
Cystadenoma, Papillary or Otherwise
Sialadenoma Papilliferum
Intraductal Papilloma
Inverted Ductal Papilloma
MALIGNANT SALIVARY GLAND NEOPLASMS
Mucoepidermoid Carcinoma
Adenoid Cystic Carcinoma
Polymorphous Low-Grade Adenocarcinoma
Acinic Cell Adenocarcinoma
Clear Cell Adenocarcinoma (Hyalinizing)
Adenocarcinoma, Not Otherwise Specified
14. Odontogenic Cysts
ODONTOGENIC CYSTS
INFLAMMATORY CYSTS
Apical and Lateral Radicular Cyst, and Periapical Granuloma
Mandibular Buccal Bifurcation Cyst
DEVELOPMENTAL CYSTS
Dentigerous Cyst (Follicular Cyst)
Lateral Periodontal Cyst
Orthokeratinized Odontogenic Cyst
Odontogenic Cyst in a Globulomaxillary Location
Primordial Cyst
Glandular Odontogenic Cyst
15. Odontogenic Tumors
EPITHELIAL TUMORS WITHOUT ECTOMESENCHYME
Keratocystic Odontogenic Tumor (Odontogenic Keratocyst)
Ameloblastoma
Calcifying Epithelial Odontogenic Tumor (Pindborg Tumor)
Adenomatoid Odontogenic Tumor
Squamous Odontogenic Tumor
Ameloblastic Carcinoma
Primary Intra-Osseous (Odontogenic) Carcinoma (Primary Intra-Osseous Squamous Cell Carcinoma)
Clear Cell Odontogenic Carcinoma
MIXED EPITHELIAL AND ECTOMESENCHYMAL TUMORS
Calcifying Cystic Odontogenic Tumor (Calcifying Odontogenic Cyst, Gorlin Cyst) and Dentinogenic Ghost Cell Tumor
Ameloblastic Fibroma
Ameloblastic Fibro-odontoma
Odontoma
MESENCHYMAL TUMORS
Central Odontogenic Fibroma
Odontogenic Myxoma
Granular Cell Odontogenic Tumor
Cementoblastoma
16. Nonodontogenic Intra-osseous Lesions
Tori and Exostoses
Fibro-Osseous Lesions
Paget Disease of Bone (Osteitis Deformans)
Central Giant Cell Granuloma (Aggressive and Non-Aggressive Giant Cell Lesion, Central Giant Cell Lesion, Central Giant Cell Reparative Granuloma)
Cherubism
Desmoplastic Fibroma
Osteosarcoma (Osteogenic Sarcoma)
Chondrosarcoma
Multiple Myeloma (Plasma Cell Myeloma)
Langerhans Cell Histiocytosis
Osteonecrosis and Osteomyelitis
Myospherulosis (Spherulocytosis, Spherulocystic Disease of Skin)
Hematopoietic Bone Marrow Defect (Osteoporotic Bone Marrow Defect)
NONODONTOGENIC CYSTS AND CYST-LIKE LESIONS
Nasopalatine Duct (Incisive Canal) Cyst
Surgical Ciliated Cyst (Post-Operative Maxillary Cyst)
Median Palatal (Palatine) Cyst
Aneurysmal Bone Cyst
Simple Bone Cyst (Traumatic Bone Cyst, Idiopathic Bone Cavity)
Stafne Bone Cavity (Lingual Salivary Gland Depression)
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