The mouth or oral cavity is often affected by diseases of the skin, since it is in direct continuity with it. In fact, it may be an important clue to systemic diseases. The nasopharynx is a common area with the oral cavity, nasal cavity, and the trachea leading to the lungs. Risk factors for oral cancer such as smoking and alcohol abuse are often risk factors for cancer within the nasopharynx. The advent of the flexible fiberoptiscope has greatly aided in the early diagnosis of diseases in this area.
A guide to the clinical appearance of diseases of the oral cavity are presented through the following links.
Oral Mucosal Lesions
In addition to the soft tissue lesions, the temporomandibular joint is also the site of many disease process, with considerable overlap with other organ systems.
Aneurysmal bone cyst
Epidermal inclusion cyst
Langerhans cell histiocytosis
Median Rhomboid Glossitis
Melkersson-Rosenthal Syndrome (Granulomatous Cheilitis)
Oral Hairy Leukoplakia
Pigmented villonodular synovitis
Plasma cell myeloma
Simple bone cyst
and Clinical Variants
Commonly Used Terms Internet Links
DISEASE VARIANTS CHARACTERIZATION RIGA-FEDE DISEASE
Extensive Riga-Fede disease of the lip and tongue.
Zaenglein AL, Chang MW, Meehan SA, Axelrod FB, Orlow SJ.
Ronald O. Perelman Department of Dermatology, and the Department of Pediatrics, New York University School of Medicine.
J Am Acad Dermatol 2002 Sep;47(3):445-7 Abstract quote
Riga-Fede disease presents in early infancy and is characterized by firm, verrucous plaques arising on the oral mucosal surfaces. These histologically benign lesions occur as a result of repetitive trauma of the oral mucosal surfaces by the teeth.
Early recognition of this entity is important, because it may be the presenting sign of an underlying neurologic disorder. We report the case of a 10-month-old boy with extensive Riga-Fede disease involving the lip and tongue that prompted a diagnosis of congenital autonomic dysfunction with universal pain loss.
DIFFERENTIAL DIAGNOSIS KEY DIFFERENTIATING FEATURES
- Potential pitfalls in diagnostic oral pathology: a review for the general surgical pathologist.
From the Division of Anatomic Pathology, Virginia Commonwealth University School of Medicine, Richmond, VA.
Adv Anat Pathol. 2005 Nov;12(6):332-49. Abstract quote
Oral developmental, reactive, benign neoplastic and malignant neoplastic conditions, many odontogenic in origin, may not be seen routinely by the general surgical pathologist and therefore may present a diagnostic dilemma.
This article describes odontogenic and nonodontogenic conditions with little or no destructive potential along with the more aggressive conditions that resemble them clinically and histologically. The importance of clinical and radiographic correlation as an adjunct to tissue diagnosis is highlighted. Additionally, a brief summary of odontogenesis is presented with attention given to odontogenic embryologic remnants and the developmental and pathologic processes that may arise from them.
Henry JB. Clinical Diagnosis and Management by Laboratory Methods. Twentieth Edition. WB Saunders. 2001.
Rosai J. Ackerman's Surgical Pathology. Ninth Edition. Mosby 2004.
Sternberg S. Diagnostic Surgical Pathology. Fourth Edition. Lipincott Williams and Wilkins 2004.
Robbins Pathologic Basis of Disease. Seventh Edition. WB Saunders 2005.
DeMay RM. The Art and Science of Cytopathology. Volume 1 and 2. ASCP Press. 1996.
Weedon D. Weedon's Skin Pathology Second Edition. Churchill Livingstone. 2002
Fitzpatrick's Dermatology in General Medicine. 6th Edition. McGraw-Hill. 2003.
Weiss SW and Goldblum JR. Enzinger and Weiss's Soft Tissue Tumors. Fourth Edition. Mosby 2001.
Erythroplakia-Literally means red plaque. It, like leukoplakia, is caused by numerous agents. Histologically, however, there is a much higher association with squamous dysplasia and carcinoma than leukoplakia.
Leukoplakia-Literally means white plaque. It is caused by a number of agents from tobacco, to ill fitting dentures, to lichen planus. Thus, it is not specific and always requires further investigation. It is a clinical term. Histologically, there are no uniform changes and diseases ranging from benign keratoses to squamous cell carcinoma may present with leukoplakia.
Basic Principles of Disease
Learn the basic disease classifications of cancers, infections, and inflammation
Commonly Used Terms
This is a glossary of terms often found in a pathology report.
Learn how a pathologist makes a diagnosis using a microscope
Surgical Pathology Report
Examine an actual biopsy report to understand what each section means
Understand the tools the pathologist utilizes to aid in the diagnosis
How Accurate is My Report?
Pathologists actively oversee every area of the laboratory to ensure your report is accurate
Recent teaching cases and lectures presented in conferences
Pathologists Who Make A Difference
Search for a Physician Specialist
Last Updated December 21, 2005
Send mail to The Doctor's Doctor with questions or comments about this web site.
Read the Medical Disclaimer.
Copyright © The Doctor's Doctor