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lP*t'oRAtcA\rnY,lL____ ePFTAGUS
Herpesvirus infection:.$Verycomnoncondition, aused y HSV-It Transmined y kissingir,Remains ommt withingmglia trigeminal),eactivatedy:-fever,sun-cold exposue-respiratorynfection€.Singler multiplevesicles n ips+shallowainfirlulcerstDiagosis: Tzank est
e;
ULCERATIVEAND INFLAMMATORY LESIONS
Aphthos ulcers(Cankerulcers):*Verycommon*More common n l"t two decadestriggeredby stress,ever,indigestion),*Small,ound, hallow,ainful,ingler ngroups,overedwitlrgray-rvhitexudate, rythemalousim on:-softpalate,-buccolabialmucosa,-lateralbordersof tongue*Autoimmune?),selflimited esolvewithin eeweeks
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Candida:O Nommal nhabibntoforalcaviry30-40%)O Causes iseasewithimpairmentof tle usualprotectivemechanisrnsdiabetesellitus,lucocorticoidherapy,immunodeficiencv):
-Thrush: adherent whiteplaquesanywhere u'ithinoralcavity-Mayspread to esophazusand!!9q!-+viscerallesionsOMicroscopic: buddingfirngal hyphaeand ovoidyeastcells,necronc mucosa
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&l:.:-"Acquired mmunodefiiencJ'syndrome:
Advanced casesare often associatedwith lesionsinoral car"itv:
(l)Candidiasis(2)Herpetic esicles13)Microbial nfections+glossitis(a)AIDS: Kaposi'sarcom4introral urpricnodularmmses
CANCERS OF ORALCAVITY ANDTONGUE
ts3% ofall cancersnUSAE 50%deathwithin 5vears:-Earlvmetastases, ayhavealreadymetastasizedeforehelesions discovered-OId asenotbefore 0years)ESite:LateralmarginsoflowerlipsFloorof mouthLateralbordersofmotile tongueEIN.E. :stansaWpalpablemass,malignant lcerEMicroscopic:quamousellcarcinom4welldifferentiated,keratinizingE Clinical:as).mptonatic,ocalpain,difficultyn chewing
tlarqed,+ywhodes
ocalr-s.Ar.-'l1ffitumorapyw
Leraloccryu(ltvfisraragrntrxf+"'luoslalrnn
SALIVARYGLANDS
Siaradenitis:yt0t4h4mA.+r-nnfS4ti
('l)Mumps:
-AII salivaryglandsespeciallyheparotiddiffirsenterstitialinflmmation,mononuclearell nfiltrate
-Selfiimitednchirdhood,ur,, aurtr-oYiJ.9#lj*i,itir-
st.''tirv/Erafup!teminiQrnrSJuhrleg
(2)AutoimmmeSjoCren'syndrome):ll salivarylandsnd
racrimarrmd.glaydsohearrfStnfiltald.
(3)Basterial:econdaryo ductobsauctiony stone
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Nomalaqumous mu@saat the right(*),squmouscell cilcinoma
(LP)nfiltrating submuosamdmuscles
Salivawglandtumors:-80% nparotidglarlrds4p6l-80%arebenigl-Age66-?$deiade, qualnbothsexesCfnlqV)
"*,-v
oirund
fSlowlygrowing,well demarcated,encapsulatedpainlessswelling at mgle ofia+r"fAOn&bW,fBenign,l07o recurafter excision,multipleprojectionsoftletumorpenetratetlre capsule-)adequate resectiontopreventrecurence.Primaryor recurrent benigntuinorspresentfor mmyyers(10-20),rnalignancymay occur
el+hwqLuntftt\,btrf SonrJrtyuinUaoL[sg|"hssu-L. Quye,nJl
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Mlxoidstroma similu to cetilage withinterpersdisledsudstrilds ofmvo@ithelial @lls
Nut rnpolfaNF,t+J,a{st,
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