Deck 9: Lymphoid Lesions

Question 1

Oral extranodal lymphomas are most likely to present as ulcerated or nonulcerated masses in which of the following sites?

A) Buccal mucosa
B) Tongue
C) Palate
D) Floor of the mouth
E) Lower lip

Answer 1

Palate

Question 2

Excluding tonsil, oral extranodal lymphomas are most commonly seen in which of the following sites?

A) Buccal mucosa
B) Tongue
C) Palate
D) Floor of mouth
E) None of the above

Answer 2

Palate

Question 3

A 33-year-old patient presents with an asymptomatic swelling of her right submandibular space. Which of the following should be considered in a clinical differential diagnosis?

A) Chronic lymphadenitis
B) Salivary gland tumor
C) Lymphoepithelial cyst
D) Lymphoma
E) All the above

Answer 3

All the above

Question 4

A 0.5 * 0.5 cm lump in the posterior lateral border of the tongue of a 21-year-old man was biopsied. Microscopically, normal-appearing lymphoid tissue was noted in the wall of a benign cystic lesion. This would be consistent with:

A) Dermoid cyst
B) Thyroglossal tract cyst
C) Squamous cell carcinoma
D) Lymphoma
E) Lymphoepithelial cyst

Question 5

Oral extranodal lymphomas that are HIV related are most commonly of which of the following types?

A) Low-grade, B-cell lymphomas
B) Low-grade, T-cell lymphomas
C) High-grade, T-cell lymphomas
D) High-grade, B-cell lymphomas
E) None of the above

Question 6

Which of the following is seen with increased frequency in AIDS patients?

A) Lymphangioma
B) Salivary gland tumors
C) Lymphoma
D) Verrucous carcinoma
E) Odontogenic keratocysts

Question 7

Oral extranodal lymphomas:

A) May be expression of systemic disease
B) May represent the primary site of the disease
C) Are rarely of the Hodgkin's type
D) Present as masses or ulcerated masses
E) All the above

Question 8

A 32-year-old HIV-positive patient developed an ulcerated gingival mass that was biopsied and diagnosed as high-grade lymphoma. A staging workup showed that he had stage IV disease. His prognosis relative to his lymphoma would be:

A) Excellent
B) Good
C) Fair
D) Poor

Question 9

A 25-year-old woman developed a recurrent mass in her buccal mucosa. On biopsy, the lesion was described as a benign spindle cell proliferation. All the following are consistent with this description except:

A) Fibromatosis
B) Low-grade fibrosarcoma
C) Nodular fasciitis
D) Fibrous histiocytoma
E) Lymphoma