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Jung SY, Maeng JY, Lee H, Han JJ, Kim SM, Myoung H. Metastasis of Renal Cell Carcinoma to the Mandible. J Craniofac Surg 2023; 34:e334-e336. [PMID: 36036497 DOI: 10.1097/scs.0000000000008985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2022] [Accepted: 07/30/2022] [Indexed: 11/25/2022] Open
Abstract
Renal cell carcinoma (RCC) is the most common tumor of the kidney. Although RCC often metastasizes to other organs, metastasis to the head and neck region is rare, and metastasis to the mandible is very unusual. Given the fact that metastasis of primary neoplasms is not always predictable, it is essential to rule out metastatic carcinoma in jaw lesions. We herein report a rare presentation of metastasis of RCC to the mandible, in which the metastatic lesion in the oral cavity was found first, followed by the primary lesion, in a 22-year-old girl who suffered from pain in the left temporomandibular joint on mouth opening and hypoesthesia of the left chin, left lower lip, and left lower gum.
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Affiliation(s)
- Sung-Young Jung
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Research Institute, Seoul National University, Seoul, Republic of Korea
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2
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Labrador AJP, Marin NRG, Valdez LHM, Sanchez KBT, Zabarburu W, Ibazetta KAR, Garcia AER, Cabezas DM, Romero L, Conte AM, Wright JM. Metastasis to the oral and maxillofacial region. A systematic review. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2022; 123:e474-e483. [PMID: 34933137 DOI: 10.1016/j.jormas.2021.12.009] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/26/2021] [Revised: 12/06/2021] [Accepted: 12/15/2021] [Indexed: 06/14/2023]
Abstract
OBJECTIVE Metastasis to oral and maxillofacial region (MOMFR) is an unusual finding; representing between 1 and 1.5% of all malignancies in the maxillofacial region. A systematic review is presented to determine trends in presentation, diagnostic features, and patient outcome. METHODS Searches of databases were carried out for papers reporting MOMFR. The variables were demographics, patient symptoms, tumor location, tumor size, histopathology, origin of the tumor, immunohistochemical studies, follow-up and survival. RESULTS 696 cases were identified; 391 males, and 305 females. The most common race was white. The most common primary tumor for females was from breast 31.1% (n = 95), for males from lung 20.5% (n = 143). The most common location was the mandible 44.9% (n = 313), followed by gingival soft tissue 16.8% (n = 117). A frequent clinical symptom was pain with 17.5% (n = 122). The most common clinical presentation was a mass or tumor 37.4% (n = 260). The mean age was 58.8 years. The average time before diagnosis was 10.3 months, the mean follow-up after diagnosis was 13.1 months, and the average survival was 9.8 months. CONCLUSION MOMFR shows a strong predilection for the posterior mandible, with a mass or tumor being the most common clinical presentation. They are frequently painful, and demonstrate a poor prognosis.
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Affiliation(s)
- Alberto Jose Peraza Labrador
- Oral surgeon and oral pathologist director centro de odontologia integral acarigua, Mailing address: av 5 de diciembre cc metropolitan local 6, Venezuela.
| | | | - Luciano Hermios Matos Valdez
- Oral Patohology director. Diagnocentrobucal, Mailing address: Las Golondrinas Mz. B lote 9, Los Olivos, Lima, Peru
| | - Katman Bear Toledo Sanchez
- Resident oral pathology program cayetano Heredia peru. Oral and maxilofacial pathology and medicine clinics, Mailing address: Av. El Olivar, 3879 San Martin de Porres, Lima, Peru
| | - Wil Zabarburu
- Director of Dental healthcare clinic, Av principal Lote 7. Micaela Bastidas 2, Lima, Peru
| | - Karem Annelise Rodriguez Ibazetta
- Associated of Oral and maxilofacial pathology and medicine clinics department. Mailing address: Av. Pablo Carriquiry 705, San Isidro, Lima, Peru
| | - Alejandra Elvia Ruiz Garcia
- Director Oral and maxilofacial pathology and medicine clinics. Mailing address: Cooperativa Santa Polonia Mz. N lote 15, San Martin de Porres, Lima, Peru
| | - Dayana Mamani Cabezas
- Director associated. Oral and maxilofacial pathology and medicine clinics. Mailing address: Av. Petrolera km 4 Zona Sud OTB Villa San Miguel, Cochabamba, Bolivia
| | - Leonardo Romero
- Dircetor of the Oral prostodontic department. Romedent dental clinic, Bogotá, Colombia
| | - Aldo Manzur Conte
- Director of endodontic department. Savanna Dental Group, 1135 Adelaide St. North suite 303, London, Ontario N5Y 5K7, Canada
| | - John M Wright
- Department of Diagnostic Sciences, Texas A&M University College of Dentistry, 3302 Gaston Ave, Dallas, TX 75246, United States
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Gallo F, Gastaldi E, Ninotta G, Baricalla F, Pastorino A, Venturino E, Schenone M. A rare case of syncronous solitary para-pharyngeal metastasis of clear cell carcinoma in a patient with small renal mass. Urologia 2021:3915603211020466. [PMID: 34105408 DOI: 10.1177/03915603211020466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
INTRODUCTION Unusual metastatic sites of renal cell carcinoma (RCC) are not infrequent. We report a rare case of solitary pharyngeal metastasis as first presentation of RCC. CASE DESCRIPTION A 74 years-old man was referred to our hospital due to rapidly progressive dyspnoea and dysphagia. Physical examination showed a large right para-pharyngeal mass. Imaging findings showed a 5.5 cm mass, suspicious for malignancy, which extended to right para and retro-pharyngeal spaces with compression of the major right cervical vessels, C2-C3 vertebral bodies osteolysis, dural sac compression and dislocation. Futhermore, a small (2.6 × 2 cm) mass located at the upper pole of the right kidney was shown. Patient underwent partial trans-oral removal of the mass. Pathological examination and immunochemistry resulting strongly suggestive for metastatic RCC. Considering the metastatic stage of the tumour and the rapidly progressive clinical worsening with poor performance status, we offered the patient a palliative treatment with tyrosine kinase and cytoreductive radiotherapy on vertebral bodies. The patient developed a rapidly progressive multifocal metastatic disease and died 4 months after the presentation. CONCLUSION We think that our case is noteworthy for some aspects. Firstly, pharyngeal localizations of RCC are very rare and this is the first case of solitary pharyngeal metastasis. Secondly, this metastatic lesion was really particular because it was synchronous and twice as big than the primary tumour. Thirdly, this case is consistent with previous evidence that synchronous compared with metachronous metastasis RCC is associated with adverse effect on outcome and response to targeted treatment.
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Affiliation(s)
- Fabrizio Gallo
- Department of Urology, San Paolo Hospital, Savona, Italy
| | | | | | | | | | - Ezio Venturino
- Department of Pathology, San Paolo Hospital, Savona, Italy
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Differential Diagnosis between Oral Metastasis of Renal Cell Carcinoma and Salivary Gland Cancer. Diagnostics (Basel) 2021; 11:diagnostics11030506. [PMID: 33809250 PMCID: PMC7999008 DOI: 10.3390/diagnostics11030506] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2021] [Revised: 02/23/2021] [Accepted: 03/08/2021] [Indexed: 01/23/2023] Open
Abstract
Renal cell carcinoma, which has clear cells in 70% of cases, has a high frequency of hematogenous distant metastases to lung, bone, liver, and other areas. Metastatic cancer accounts for 1 to 3% of malignant tumors in the stomatognathic region, and the metastasis of renal cell carcinoma to the oral mucosal tissue, though extremely rare, does occur. In addition, clear cells have been observed in some salivary gland cancers in the oral cavity. Therefore, the differential diagnosis of metastatic renal cell carcinoma and salivary gland cancer is important. This review discusses the differential diagnosis between metastatic renal cell carcinoma and malignant tumors of the salivary gland.
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Stojanovic M, Krasic D, Trajkovic M, Petrovic V. Rare renal cell carcinoma metastasis to mandibular gingiva: A case report and literature review. Niger J Clin Pract 2020; 23:1483-1486. [PMID: 33047710 DOI: 10.4103/njcp.njcp_55_19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Metastatic lesions represent approximately 1% of all the intraoral lesions. They most commonly originate from lung and breast carcinomas, while the third most common source is the renal cell carcinoma. In this paper, we present the rare case of metastases of renal cell carcinoma in the mandibular gingiva of a 53-year-old male patient.
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Affiliation(s)
- M Stojanovic
- Clinic for Stomatology - Department for Maxillofacial Surgery, Niš, Serbia, Bulevar dr Zorana Djindjica 52, Srbija
| | - D Krasic
- Clinic for Stomatology - Department for Maxillofacial Surgery, Niš, Serbia, Bulevar dr Zorana Djindjica 52, Srbija
| | - M Trajkovic
- Clinic for Stomatology - Department for Maxillofacial Surgery, Niš, Serbia, Bulevar dr Zorana Djindjica 52, Srbija
| | - V Petrovic
- Faculty of Medicine of University in Niš, Serbia, Bulevar dr Zorana Djindjica 81, 18000 Niš, Srbija
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Nisi M, Izzetti R, Graziani F, Gabriele M. Renal Cell Carcinoma Metastases to the Oral Cavity: Report of 2 Cases and Review of Literature. J Oral Maxillofac Surg 2020; 78:1557-1571. [PMID: 32386976 DOI: 10.1016/j.joms.2020.04.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2020] [Revised: 04/01/2020] [Accepted: 04/01/2020] [Indexed: 02/06/2023]
Abstract
The localization of renal cell carcinoma (RCC) metastases in the oral cavity has been reported, accounting for about 15% of patients with metastasizing renal disease. In this work, we report 2 cases of oral metastases of renal carcinoma and provide a review of the current literature on the occurrence of oral metastases of renal origin. The first patient (a 61-year-old man) presented with a tumefaction of the body of the tongue. The second patient (a 71-year-old man) showed a large mass localized in the buccal mucosa. In both patients, incisional biopsy was performed to better characterize the nature of the lesions. Histologic evaluation showed the metastatic origin of the 2 lesions, which were distant metastases of clear cell RCC. After systemic evaluation, a second surgical procedure was performed to obtain a wider resection of the mass to reduce the development of complications and improve the patients' quality-of-life. After the second surgical treatment, both patients showed an improvement in symptoms, and no further complications and/or signs of recurrence were detected. At present, 132 cases of oral metastases of RCC have been described in the literature. This article reviews and discusses the clinical, diagnostic, and pathologic features and the treatment options reported in the literature. Localization of renal metastases to the tongue was the most frequently described localization in the literature. In general, surgical treatment appears to be effective in controlling metastasis development and associated symptoms. Although relatively rare, renal metastases to the oral cavity should be taken into account when creating the differential diagnosis of oral lesions of unknown origin.
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Affiliation(s)
- Marco Nisi
- Assistant Professor, Department of Surgical Pathology, Medicine, Molecular and Critical Area, University of Pisa, Pisa, Italy.
| | - Rossana Izzetti
- PhD Student, Department of Surgical Pathology, Medicine, Molecular and Critical Area, University of Pisa, Pisa, Italy
| | - Filippo Graziani
- Full Professor, Department of Surgical Pathology, Medicine, Molecular and Critical Area, University of Pisa, Pisa, Italy
| | - Mario Gabriele
- Full Professor, Department of Surgical Pathology, Medicine, Molecular and Critical Area, University of Pisa, Pisa, Italy
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Ranglani H, Pai VV, Shukla P. Keratoacanthoma-like cutaneous metastases in a case of squamous cell carcinoma of the tongue. Indian J Dermatol Venereol Leprol 2018; 85:568. [PMID: 30381581 DOI: 10.4103/ijdvl.ijdvl_595_17] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- Harshal Ranglani
- Department of Dermatology and Venereology, Goa Medical College, North Goa, Goa, India
| | - Varadraj V Pai
- Department of Dermatology and Venereology, Goa Medical College, North Goa, Goa, India
| | - Pankaj Shukla
- Department of Dermatology and Venereology, Goa Medical College, North Goa, Goa, India
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Şahin B, Doruk C, Çelik M, Öztürk E, Güneş S, Kıyak ÖE. Atypical Metastasis to the Head and Neck Region: An Analysis of 11 Patients. Turk Arch Otorhinolaryngol 2018; 56:210-216. [PMID: 30701116 DOI: 10.5152/tao.2018.3633] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2018] [Accepted: 09/04/2018] [Indexed: 01/22/2023] Open
Abstract
Objective We present 11 patients with distant metastases to the head and neck from an infraclavicularly located primary tumor and discuss the management strategies including the clinical presentation, treatment modalities, and prognosis. Methods The retrospective data of the pathology reports and operation notes of 1239 patients who had undergone any kind of oncological surgical intervention between 2005 and 2017 were analyzed. All of the 11 patients included in the study were evaluated in our department's tumor board, and all patients with an operable lesion had undergone surgery. Inoperable patients were treated with chemotherapy and/or radiotherapy. Results The average age of the patients was 64.3 (48-88) years. Primary tumors were located in the lung (2), breast (2), ovary (2), prostate (2), kidney (1), and colon (1) and the primary lesion could not be determined in one patient. The most common symptom was newly occurred painless swelling (9/11, 81.8%) at the metastatic site. Four patients without any other distant metastases were operated. Of these four patients, two died during follow-up due to systemic disease, and the other two are alive and disease-free. Three of the seven inoperable patients were treated with chemotherapy and the other four with radiotherapy. The prognosis of this group was worse. Conclusion Although metastasis to the head and neck is not common, it is vital to keep in mind while approaching a patient with a lesion at the head and neck region especially if there is a history of lung, breast, and genitourinary cancers. Despite the poor prognosis, diminishing the tumor burden would increase the treatment success.
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Affiliation(s)
- Bayram Şahin
- Department of Otorhinolaryngology, Health Sciences University, Derince Training and Research Hospital, Kocaeli, Turkey
| | - Can Doruk
- Department of Otorhinolaryngology, İstanbul University School of Medicine, İstanbul, Turkey
| | - Mehmet Çelik
- Department of Otorhinolaryngology, İstanbul University School of Medicine, İstanbul, Turkey
| | - Erkan Öztürk
- Department of Otorhinolaryngology, İstanbul University School of Medicine, İstanbul, Turkey
| | - Selçuk Güneş
- Department of Otorhinolaryngology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey
| | - Ökkeş Erkan Kıyak
- Department of Otorhinolaryngology, İstanbul University School of Medicine, İstanbul, Turkey
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Abstract
Metastases to the oral cavity are extremely rare events, representing less than 1% of all malignant oral tumors. Renal cell carcinoma constitutes about 3% of solid tumors in adults, and it is the most frequent kidney neoplasm, representing about 90% of kidney malignancies. Due to the silent growth of this neoplasm, most patients have no symptoms and the diagnosis is belated, usually after metastases. The present study reports an additional patient of metastatic renal cell carcinoma to the oral cavity regarding the clinical and pathologic features.
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Le T, Mayer M, Sailors J, Gerber DE, Truelson JM. Upper lip metastasis of sarcomatoid carcinoma of the lung - an unusual site of disease: a case report. J Med Case Rep 2017; 11:18. [PMID: 28100268 PMCID: PMC5244539 DOI: 10.1186/s13256-016-1178-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2016] [Accepted: 12/13/2016] [Indexed: 12/19/2022] Open
Abstract
BACKGROUND Lip metastases are rare clinical events that are frequently mistaken for other diagnoses. For sarcomatoid lung carcinoma, a rare histologic variant of non-small cell lung cancer, the incidence and pattern of cutaneous spread is poorly understood. CASE PRESENTATION We present a case of a 79-year-old African American man with a rapidly progressive upper lip cutaneous lesion that provided the first evidence of distant metastatic spread of sarcomatoid lung carcinoma. CONCLUSIONS This is the first reported case of lip metastasis in sarcomatoid lung carcinoma. It highlights the importance of maintaining a high level of suspicion for metastatic disease in the presence of new cutaneous findings as they may be the first evidence of advanced disease.
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Affiliation(s)
- Tri Le
- Department of Internal Medicine, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, 75390, USA
| | - Melissa Mayer
- Harold C. Simmons Cancer Center, University of Texas Southwestern Medical Center, 2201 Inwood Road, 3rd Floor, Suite 500, Dallas, TX, 75390-9125, USA
| | - Joseph Sailors
- Department of Pathology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, 75390, USA
| | - David E Gerber
- Department of Internal Medicine, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, 75390, USA. .,Harold C. Simmons Cancer Center, University of Texas Southwestern Medical Center, 2201 Inwood Road, 3rd Floor, Suite 500, Dallas, TX, 75390-9125, USA.
| | - John M Truelson
- Harold C. Simmons Cancer Center, University of Texas Southwestern Medical Center, 2201 Inwood Road, 3rd Floor, Suite 500, Dallas, TX, 75390-9125, USA.,Department of Otolaryngology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, 75390, USA
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Three Synchronous Atypical Metastases of Clear Cell Renal Carcinoma to the Maxillary Gingiva, Scalp and the Distal Phalanx of the Fifth Digit: A Case Report. J Oral Maxillofac Surg 2016; 74:1286.e1-9. [PMID: 26954558 DOI: 10.1016/j.joms.2016.01.054] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2015] [Revised: 01/26/2016] [Accepted: 01/28/2016] [Indexed: 11/22/2022]
Abstract
Oral cavity metastasis of malignant tumors is extremely rare and accounts for only 1% of all malignant oral tumors. Renal cell carcinoma (RCC) can metastasize to any part of the body, with a 15% risk of metastasis to the head and neck region when the disease is disseminated and a 1% risk when it is not. RCC also is the third most common infraclavicular neoplasm that metastasizes to the oral cavity, after lung carcinoma in men and breast carcinoma in women. In the maxillofacial region, the nasal cavity and paranasal sinuses are the most commonly affected sites, followed by the oral cavity. This report describes the case of a 51-year-old man with a history of clear RCC presenting with 3 synchronous atypical metastases of this tumor to the maxillary gingiva, scalp, and distal phalanx of the fifth digit. Clinical findings, diagnosis, pathology, and treatment of these lesions are discussed. Metastasis of RCC should always be included in the differential diagnosis when a new oral and maxillofacial lesion appears in a patient with a history of RCC because the metastatic lesions can often present in a broad spectrum of forms. The rapid growth of these lesions should alert clinicians to avoid any delays in biopsy examination and subsequent treatment, which is usually palliative, because prognosis is usually poor.
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