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It is my pleasure to speak to you
about Red Lesions.
This particular presentation
will be broken into two parts.
Basically, vascular lesions
ultimately segueing
into autoimmune mediated processes
and oral premalignant conditions
and squamous cell carcinoma.
I'm Dr. Jim Sciubba,
I'm a retired professor
at the Johns Hopkins School of Medicine,
and I'm currently an active consultant
at the Milton J. Dance
Head & Neck Center
here in Baltimore
where we see an array of oral pathology
and oral medicine problems.
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The first topic will be
vascular proliferations
characterized by lesions of congenital,
reactive or neoplastic nature.
Various forms of terminology
are used throughout this presentation
including the commonly seen
and noted hemangioma,
commonly noted
vascular pools or varicosities,
some people prefer
the term "venous lakes."
Intraorally,
we will provide you examples
of peripheral giant cell granuloma,
the common pyogenic granuloma,
telangiectases of various forms,
and finally the malignant counterpart
of many of these vascular lesions,
the Kaposi sarcoma.
We'll continue
with the hypersensitivity lesions
including plasmacytic gingivitis,
erythema multiforme,
minor and major,
we'll discuss and present lesions
of microbial or infectious origin,
chief of which is candidiasis
and the various forms
of kind of candidiasis
including the commonly seen
denture sore mouth,
angular cheilitis or cheilosis,
or sometimes known as perleche,
and then
papillary epithelial hyperplasia
usually seen beneath
the maxillary denture base.
We will look at a case of syphilis
which of course is red
in its early phases,
and last, the very commonly seen
dental plaque related alterations
of the attached gingiva.
We'll spend a good deal of time
on the entity of lichen planus
in its various forms,
closely related lichenoid mucositis,
lupus erythematosus, mucosal pemphigoid,
and finally, pemphigus vulgaris.
We continue with premalignant lesions
of the mucosa
and malignant lesions of the mucosa.
Erythroplakia,
sometimes called erythroplasia
characterized by various levels
of oral epithelial dysplasia.
Speckled leukoplakia where one sees
a combination
of red and white lesions.
And squamous cell carcinoma
presenting in a very
heterogeneous fashion
with our main emphasis here
for this purpose on the red component.
