Date post: | 21-Jan-2017 |
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Health & Medicine |
Upload: | marziye1858 |
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IN THE NAME OF GODDR SOODE JAFARI
THEALGORITHYM
FOR DIAGNONSIS OF ORAL EXOPHYTIC LESIONS
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
STEP II source
A) Peripheral lesions Lesion Description B) Central lesions Radiologic Feature
Location
Mobility
Peripheral lesions
central lesions Lesions with periosteal origin Lesions with invasion to the surrounded tissues
Radiography
Uncertainty
1-Saucer shapes
2- PDL widening
Osteogenic sarcoma The bandlike widening of the periodontal ligament spaces
Hemangiosarcoma.
STEP III Lesion Description
Characteristics :
A) Surface
B) Base
C) Consistancy
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
Papillomatous
Verrucous
Bosselated
Rough- surfaced massesPapillomasVerrucae vulgarisSeborrheic keratosisKeratoacanthomasVerrucous carcinomasExophytic carcinomasUlcerative carcinomasCondyloma latum
C) Base
Nodular Dome shaped
Polypoid
Sessile Pedanculated
D) Consistancy
Clinical diagnosis of soft tissue tumors
Onset and Course
source
Lesion Descripti
on
THANKS FOR YOUR ATTENTION