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