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Soft Tissues Lesions - Coggle Diagram

- - - - Polymorphous Low-Grade Adenocarcinoma
        - Etiology: Maybe associated with genetic mutations and the over-productib of specific gene products such as p63.
        - Method of Transmission: Not applicable.
        - Characteristics: Hard and soft palate is the most common site. slow-growing, smooth-surfaced, painless mass that may exist for years.
        - Dental Implications: One of the first signs might be a denture that starts to feel uncomfortable. All patients who wear dentures should be encouraged to have periodic oral examinations to detect abnormalities at early stage.
        - Treatment and Prognosis: Surgical excision with wide margin. Local recurrence has been reported. Metastasis is uncommon.
        - Citation: Delong, Burkhart textbook, pgs 416-417.
      - Adenoid Cystic Carcinoma
        -Etiology: Unknown. Some association with mutation on chromosomes 6 and 12 and delegation of genetic material from chromosome 19.
        - Method of Transmission: Not Applicable.
        - Characteristics: Intraoral lesions often manifest with pain as an early symptom. Parotid gland tumors are firm., well-defined masses within the gland. Slow growing and may be tender to palpation.
        - Dental Implications: All dental procedures needs to be completed before radiation therapy. Instruct the patient on long-term management of xerostomia and other oral side effects of radiation.
        - Treatment and Prognosis: Surgical excision with wide margins and radiation therapy.
        - Citation: Delong, Burkhart textbook, pg 417