1
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Huang Y, Bao Y, Xu D, Liu L. Gingival metastasis from primary hepatocellular carcinoma: a case report. J Int Med Res 2022; 50:3000605221113408. [PMID: 35883281 PMCID: PMC9340352 DOI: 10.1177/03000605221113408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Hepatocellular carcinoma (HCC) is one of the most common malignant tumors worldwide;
however, cases with metastasis to the oral cavity are extremely rare. Herein, we report a
68-year-old man who was diagnosed with HCC. Ten months after surgical removal of the right
half of his liver, the patient developed gingival metastasis. Unfortunately, the patient
died 4 months after the diagnosis. We discuss treatment options, pathological results, and
disease prognosis. When a mandibular gingival mass is found, metastatic tumors should be
considered in the differential diagnosis. In this regard, the patient’s medical history
and physical examination are valuable indicators for the diagnosis of mandibular gingival
metastasis. This case provides a basis for the clinical diagnosis of metastatic HCC
involving the oral cavity.
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Affiliation(s)
- Yuan Huang
- Department of Gastroenterology, Yanbian University Hospital, Jilin, China
| | - Yanqiu Bao
- Department of Pathology, Yanbian University Hospital, Jilin, China
| | - Dongyuan Xu
- Department of Pathology, Yanbian University Hospital, Jilin, China
| | - Lan Liu
- Department of Pathology, Yanbian University Hospital, Jilin, China
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2
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Jawanda MK, Narula R, Gupta S, Gupta P. Mandibular metastasis of follicular thyroid carcinoma: A case report along with the concise review of literature. J Oral Maxillofac Pathol 2022; 26:133. [PMID: 35571308 PMCID: PMC9106240 DOI: 10.4103/jomfp.jomfp_408_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Revised: 10/04/2021] [Accepted: 11/24/2021] [Indexed: 11/04/2022] Open
Abstract
Metastasis is one of the most common consequences of malignant tumors, and it is one of the leading causes of morbidity and mortality. Metastatic cancers to oral cavity are extremely rare. Moreover, the true incidence has yet to be determined. Despite their rarity, they are important clinically, since they can be the first and the only evidence of spread in many situations. Breast, kidney, lung, prostate and gastrointestinal tract are the most common sources of metastases in the oral cavity. Thyroid carcinoma is the most prevalent type of endocrine cancer, yet it rarely spreads to the oral cavity. After papillary thyroid carcinoma, follicular thyroid carcinoma is the second-most frequent kind of thyroid cancer. Jawbones are more commonly affected than soft tissues. Literature research revealed that till date, 44 cases of metastatic follicular thyroid cancer to the jawbones have been documented with mandibular preponderance (40 cases). With the rising occurrence of oral metastatic tumors in recent years, it has become increasingly important to diagnose them early to avoid future consequences. We present here an unusual case of metastatic follicular thyroid cancer in the mandible of an elderly adult along with a comprehensive review of the literature.
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Affiliation(s)
- MK Jawanda
- Department of Oral Pathology, Microbiology and Forensic Odontology, Laxmi Bai Institute of Dental Sciences and Hospital, Patiala, Punjab, India
| | - R Narula
- Department of Oral and Maxillofacial Surgery, Guru Nanak Dev Dental College and Research Institute, Sunam, Punjab, India
| | - S Gupta
- Department of Oral Pathology, Microbiology and Forensic Odontology, Rayat and Bahra Dental College and Hospital, Mohali, Punjab, India
| | - P Gupta
- Department of Oral Pathology, Microbiology and Forensic Odontology, Laxmi Bai Institute of Dental Sciences and Hospital, Patiala, Punjab, India
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3
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Nifosì G, Bressand H, Nifosì AF, Nifosì L, Damseaux P. Epulis-Like Presentation of Gingival Renal Cancer Metastasis. Case Rep Oncol 2017; 10:758-763. [PMID: 28878662 PMCID: PMC5582523 DOI: 10.1159/000479500] [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: 07/17/2017] [Accepted: 07/17/2017] [Indexed: 01/17/2023] Open
Abstract
Mouth metastatic cancers are very rare and they usually represent the evidence of a widespread disease. Common primary tumors are lung carcinoma in men and breast carcinoma in women, followed by kidney cancer. In the oral soft tissues, the gingiva is the most common site, suggesting a possible role of inflammation in the attraction of circulating tumor cells. Oral metastasis has a serious prognosis. In this work, we describe the case of a 58-year-old man affected by renal cancer, who was brought to our attention for the appearance of a gingival swelling. Initially, the lesion was excised through a provisional clinical diagnosis of epulis. Subsequently, anatomopathological analysis showed a metastasis compatible with clear-cell carcinoma and specifically its renal origin was confirmed by immunohistochemical techniques.
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Affiliation(s)
- Gianfilippo Nifosì
- Departement of Internal Medecine, Hemato-Oncology Clinic, Brugmann University Hospital Center, Brussels, Belgium
| | - Hubert Bressand
- Departement of Stomatology, Oral and Maxillo Facial Surgery, University Hospital Brugmann, Brussels, Belgium
| | | | | | - Pierre Damseaux
- Departement of Stomatology, Oral and Maxillo Facial Surgery, University Hospital Brugmann, Brussels, Belgium
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4
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Kwon MJ, Ryu SH, Jo SY, Kwak CH, Yoon WJ, Moon JS, Lee HK. A Case of Hepatocellular Carcinoma Presenting as a Gingival Mass. THE KOREAN JOURNAL OF GASTROENTEROLOGY 2017; 68:321-325. [PMID: 28025476 DOI: 10.4166/kjg.2016.68.6.321] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Oral metastatic tumor, which is uncommon and represents less than 1% of malignant oral neoplasms, usually arises from a primary mucosal or cutaneous cancer located in the head and neck regions. Metastasis of hepatocellular carcinoma (HCC) to the oral cavity, especially to gingiva, is extremely rare. A 50-year-old man, who was a chronic alcoholic and hepatitis B virus carrier, presented with abdominal distension and weight loss for the past 3 months. Three-phased contrast-enhanced abdominal CT revealed numerous conglomerated masses in the liver, suggesting huge HCCs arising in the background of liver cirrhosis with a large amount of ascites. He complained of recurrent profuse bleeding from the left upper gingival mass. A facial CT revealed an oral cavity mass destructing the left maxillary alveolar process and hard palate, which was diagnosed as metastatic HCC by an incisional biopsy. Herein, we report a case of metastatic HCC to the gingiva.
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Affiliation(s)
- Min Jung Kwon
- Department of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea
| | - Soo Hyung Ryu
- Department of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea
| | - Soo Yeon Jo
- Department of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea
| | - Chul Hoon Kwak
- Department of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea
| | - Won Jae Yoon
- Department of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea
| | - Jeong Seop Moon
- Department of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea
| | - Hye Kyung Lee
- Department of Pathology, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea
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5
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Valle L, Thomas J, Kim C, Szabo E, Brown GT, Citrin D, Rajan A. Hepatoid adenocarcinoma of the lung metastasizing to the tonsil. Mol Clin Oncol 2017; 6:705-707. [PMID: 28529745 DOI: 10.3892/mco.2017.1215] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2016] [Accepted: 01/13/2017] [Indexed: 12/30/2022] Open
Abstract
Hepatoid adenocarcinoma (HAC) is a rare tumor that typically originates in gastrointestinal tissue, such as the stomach, but can also occasionally originate in the lung. The majority of HACs express α-fetoprotein (AFP) on tumor cells, and serum AFP can be used as a marker of response to treatment or disease progression. HAC has a poor prognosis, although early diagnosis and aggressive treatment can result in long-term survival. To the best of our knowledge, this is the first reported case of HAC metastasizing to the tonsil. Irradiation using intensity-modulated radiation therapy (IMRT) to 30 Gray (Gy) achieved a significant, and durable tumor response. IMRT can be considered for local control of HAC at other metastatic sites of disease.
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Affiliation(s)
- Luca Valle
- Radiation Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892-1906, USA
| | - Joel Thomas
- Thoracic and Gastrointestinal Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892-1906, USA
| | - Chul Kim
- Thoracic and Gastrointestinal Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892-1906, USA
| | - Eva Szabo
- Thoracic and Gastrointestinal Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892-1906, USA
| | - G Thomas Brown
- Laboratory of Pathology, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892-1906, USA
| | - Deborah Citrin
- Radiation Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892-1906, USA
| | - Arun Rajan
- Thoracic and Gastrointestinal Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892-1906, USA
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6
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Irani S. Metastasis to the Jawbones: A review of 453 cases. J Int Soc Prev Community Dent 2017; 7:71-81. [PMID: 28462174 PMCID: PMC5390582 DOI: 10.4103/jispcd.jispcd_512_16] [Citation(s) in RCA: 36] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2016] [Accepted: 03/05/2017] [Indexed: 12/16/2022] Open
Abstract
The purpose of the present article was to review the characteristics of the jawbone metastases to analyze all variables. A relevant English Literature search in PubMed, Scopus, and Google Scholar was performed. All variables such as age, gender, primary and secondary tumor sites were analyzed. There were 453 metastatic cases. The male-to-female ratio was 1.2:1, and the mean age of the patients was 53.4 years. The lung was the most common primary site in men, and breast in women. The most common metastatic site was the mandible, and adenocarcinoma was the most frequent histological diagnosis. Metastases to the jaw bones occur in the advanced stages of a malignancy hence; a careful examination of patients with jaw bone lesions is strongly suggested. Dentists, as well as general physicians, should take into consideration the possible presence of jaw metastases in cases which present atypical symptoms, especially in patients with known malignant disease.
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Affiliation(s)
- Soussan Irani
- Department of Oral Pathology, Dental Research Centre, Dental Faculty, Hamadan University of Medical Sciences, Hamadan, Iran
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7
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Rare Gingival Metastasis by Hepatocellular Carcinoma. Case Rep Med 2017; 2017:3192649. [PMID: 28386283 PMCID: PMC5366209 DOI: 10.1155/2017/3192649] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2017] [Accepted: 02/26/2017] [Indexed: 02/06/2023] Open
Abstract
Hepatocellular carcinoma (HCC) uncommonly metastasizes to the gingiva, which always means a poor outcome. We reported a rare HCC case with multiple metastases to gingiva, lungs, and brain. A 60-year-old man was initially diagnosed as HCC with metastases to double lungs. He was subjected to a transarterial chemoembolization (TACE) (5-fluorouracil, 750 mg) and two cycles of intravenous chemotherapy (gemcitabine 1.8 g at days 1 and 8, oxaliplatin 200 mg at day 2, every 4 weeks). However, the volume of liver tumor still increased. A bean-size gingival nodule growing with occasional bleeding was also found. TACE (5-fluorouracil 750 mg, perarubicin 40 mg, cisplatin 20 mg) was performed again and an oral sorafenib therapy (400 mg, twice per day) was adopted. The disease maintained relatively stable for about 6 months until a second obvious progress. The gingival nodule was then palliatively excised and identified as a poorly differentiated metastatic HCC by histopathological examination. Best supportive treatments were made since the performance score was too bad. Finally, cerebral metastases occurred and the patient died of systemic failure. Upon review of previous reports, we discussed risk factors, clinical and pathological characteristics, treatments, and prognosis of gingival metastasis by HCC.
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8
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Abstract
Secondary oral cavity neoplasms are rare. We describe a case of an indurated, nonulcerating gingival lesion in a 59-year-old nonsmoking man with no family history of lung cancer. The lesion was the presenting symptom of metastatic lung adenocarcinoma. Reviewing the literature, we find that primary lung cancer among men is one of the most common cancers to metastasize to the oral cavity. Renal and cutaneous neoplasms are the next most common neoplasms to metastasize to the oral cavity. Furthermore, the gingiva, a tissue prone to inflammation, is noted to be a common site for secondary oral cavity neoplasms. This rare case highlights that metastases should influence the clinician's differential of oral mucosal lesions.
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Affiliation(s)
- Brian A Nuyen
- Medical Student at the University of California, San Diego School of Medicine in La Jolla, CA.
| | - Christopher G Tang
- Otolaryngologist and Head and Neck Surgeon at the San Francisco Medical Center in CA.
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9
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Irani S. Metastasis to the oral soft tissues: A review of 412 cases. J Int Soc Prev Community Dent 2016; 6:393-401. [PMID: 27891304 PMCID: PMC5109852 DOI: 10.4103/2231-0762.192935] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2016] [Accepted: 07/22/2016] [Indexed: 12/17/2022] Open
Abstract
The present review article analyzes the characteristics of metastases to the oral soft tissues from 1937 to 2015. An extensive literature search was performed. All variables such as age, gender, and primary and secondary tumor sites were analyzed. Metastases to the major salivary glands were not included in this review. In general, there were 412 metastatic lesions developed in the oral soft tissues. The male-to-female ratio was approximately 1.8:1. The mean age of the patients at diagnosis was 58. The lung was the most common primary site and the gingiva was the most common metastatic site. The greater part of the histological examination yielded adenocarcinoma. The diagnosis of a metastatic lesion in the oral cavity is a challenge to the clinicians due to the lack of pathognomonic signs and symptoms. Oral metastases usually occur in the advanced stages of cancers, and the interval between appearance and death is usually short. The oral soft tissue metastasis can be easily recognized compared to the metastasis of jawbones. Early detection of oral lesions is important in the case of being the first sign of a malignancy in other parts of body.
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Affiliation(s)
- Soussan Irani
- Dental Research Center, Department of Oral Pathology, Dental Faculty, Hamadan University of Medical Sciences, Hamadan, Iran
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10
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Smith SM, Old M, Iwenofu OH. Primary Lingual Colonic-Type Adenocarcinoma: A Rare and Emerging Distinct Entity! Head Neck Pathol 2016; 11:234-239. [PMID: 27357134 PMCID: PMC5429264 DOI: 10.1007/s12105-016-0740-7] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2016] [Accepted: 06/20/2016] [Indexed: 11/26/2022]
Abstract
Primary colonic-type adenocarcinoma involving the tongue (CTAT) is exquisitely rare, with only four cases having been reported in the literature. We report the case of a 53-year-old woman with an anterior (oral) tongue mass. A review of literature was performed. Histomorphologic features were evaluated with standard hematoxylin and eosin stained sections. Ancillary testing was performed. The mass consisted of invasive adenocarcinoma associated with "dirty necrosis", akin to the phenotype seen in colorectal adenocarcinoma. By immunohistochemistry, the tumor cells were positive for AE1/3, CDX2, CK20, SATB2 and beta-catenin. This was initially felt to represent a metastatic colorectal adenocarcinoma but subsequent PET/CT and colonoscopy examination were negative for colorectal mass, excluding the possibility of a metastasis and confirming a diagnosis of CTAT. We raise awareness of the existence of this entity and recommend that metastatic disease be excluded before rendering a diagnosis of CTAT.
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Affiliation(s)
- Stephen M Smith
- Department of Pathology and Laboratory Medicine, Wexner Medical Center at The Ohio State University, 410 West 10th Avenue, Columbus, OH, 43210, USA
| | - Matthew Old
- Department of Otolaryngology, Head and Neck Surgery, The James Cancer Hospital and Solove Research Institute, Wexner Medical Center at The Ohio State University, Columbus, OH, USA
| | - O Hans Iwenofu
- Department of Pathology and Laboratory Medicine, Wexner Medical Center at The Ohio State University, 410 West 10th Avenue, Columbus, OH, 43210, USA.
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11
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Gultekin SE, Senguven B, Isik Gonul I, Okur B, Buettner R. Unusual Presentation of an Adenocarcinoma of the Lung Metastasizing to the Mandible, Including Molecular Analysis and a Review of the Literature. J Oral Maxillofac Surg 2016; 74:2007.e1-8. [PMID: 27376181 DOI: 10.1016/j.joms.2016.06.004] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2016] [Revised: 06/03/2016] [Accepted: 06/03/2016] [Indexed: 02/07/2023]
Abstract
Lung cancer is the most frequent cause of cancer-related death worldwide. Metastases of non-small cell lung carcinoma to the oral and maxillofacial region are rare. Thus, the diagnosis of a metastatic lesion in the oral cavity is challenging to the clinician and to the pathologist. This report presents a case of a 72-year-old man with metastatic lung adenocarcinoma located in the posterior mandibular region. Next-generation sequencing analysis showed no important mutations in the relevant genes except in the TP53 tumor suppressor gene.
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Affiliation(s)
- Sibel Elif Gultekin
- Professor and Department Head, Department of Oral Pathology, Faculty of Dentistry, Gazi University, Ankara, Turkey
| | - Burcu Senguven
- Associate Professor, Department of Oral Pathology, Faculty of Dentistry, Gazi University, Ankara, Turkey.
| | - Ipek Isik Gonul
- Associate Professor, Department of Pathology, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Begum Okur
- PhD Student, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Gazi University, Ankara, Turkey
| | - Reinhard Buettner
- Professor and Department Head, Department of Pathology, Faculty of Medicine, University of Cologne, Cologne, Germany
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12
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Kalaitsidou IG, Astreidis IT, Kontos KI, Lazaridou MN, Bourlidou ET, Gerasimidou DK, Vladika NP, Mangoudi DL. Metastatic Tumours to the Oral Cavity: Report of Three Cases. EJOURNAL OF ORAL MAXILLOFACIAL RESEARCH 2016; 6:e5. [PMID: 26904182 PMCID: PMC4750639 DOI: 10.5037/jomr.2015.6405] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/06/2015] [Accepted: 12/21/2015] [Indexed: 11/16/2022]
Abstract
Background Metastatic tumours to the oral cavity from distant organs are uncommon and represent approximately 1 - 3% of all oral malignancies. Such metastases can occur to the bone or to the oral soft tissues. Almost any malignancy from any site is capable of metastasis to the oral cavity and a wide variety of tumours have been reported to spread to the mouth. Methods Careful examination of the oral cavity and a high degree of clinical suspicion as well as a multidisciplinary approach are suggested. Results In this article we present three patients, a female and two males with metastatic tumours to the oral cavity, who were referred to our Department. The primary tumours were invasive lobular breast carcinoma, gastric adenocarcinoma and small cell lung carcinoma respectively. Conclusions Metastases to the oral cavity are quite uncommon among population. They usually present with symptoms similar to odontogenic infections and benign tumours, causing a delayed diagnosis and treatment.
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Affiliation(s)
- Ioanna G Kalaitsidou
- Department of Oral and Maxillofacial Surgery, "Theagenio" Cancer Hospital, Thessaloniki Greece
| | - Ioannis T Astreidis
- Department of Oral and Maxillofacial Surgery, "Theagenio" Cancer Hospital, Thessaloniki Greece
| | - Konstantinos I Kontos
- Department of Oral and Maxillofacial Surgery, "Theagenio" Cancer Hospital, Thessaloniki Greece
| | - Maria N Lazaridou
- Department of Oral and Maxillofacial Surgery, "Theagenio" Cancer Hospital, Thessaloniki Greece
| | - Eleni T Bourlidou
- Department of Oral and Maxillofacial Surgery, "Theagenio" Cancer Hospital, Thessaloniki Greece
| | | | - Natalia P Vladika
- Department of Pathology, "Theagenio" Cancer Hospital, Thessaloniki Greece
| | - Doxa L Mangoudi
- Department of Oral and Maxillofacial Surgery, "Theagenio" Cancer Hospital, Thessaloniki Greece
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13
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You TM, Kim KD, Jeong HG, Park W. Mandibular metastasis of cholangiocarcinoma: A case report. Imaging Sci Dent 2016; 45:247-51. [PMID: 26730373 PMCID: PMC4697010 DOI: 10.5624/isd.2015.45.4.247] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2015] [Revised: 08/15/2015] [Accepted: 08/24/2015] [Indexed: 11/25/2022] Open
Abstract
Tumors metastasizing from distant regions to the oral and maxillofacial region are uncommon, comprising only 1%-2% of all malignancies. Cholangiocarcinoma is a malignancy that arises from cholangiocytes, which are epithelial cells that line the bile ducts. These cancers are difficult to diagnose and have a poor prognosis. In this paper, we report a rare case of mandibular metastasis of cholangiocarcinoma diagnosed at the primary site and discuss the radiographic findings observed in this case.
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Affiliation(s)
- Tae Min You
- Department of Advanced General Dentistry, Dankook University, Cheonan, Korea
| | - Kee-Deog Kim
- Department of Advanced General Dentistry, Yonsei University, Seoul, Korea
| | - Ho-Gul Jeong
- Department of Oral and Maxillofacial Radiology, Yonsei University, Seoul, Korea
| | - Wonse Park
- Department of Advanced General Dentistry, Yonsei University, Seoul, Korea
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14
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A Case of Oral Metastasis From Hepatocellular Carcinoma Displayed on 18F-FDG PET/CT Imaging. Clin Nucl Med 2015; 41:72-3. [PMID: 26359556 DOI: 10.1097/rlu.0000000000000941] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
A 65-year-old man was diagnosed with hepatocellular carcinoma 4 years ago, for which he underwent interventional therapy and radiofrequency ablation after the right lobe partial hepatectomy. He was doing well, and an FDG PET/CT scan performed 1 year earlier did not reveal any hypermetabolic lesions. However, on recent examination, a soft tissue mass inside the oral cavity was found. 18F-FDG PET/CT imaging was performed to evaluate the possible metastasis. The images showed that the oral lesion was hypermetabolic. The pathology after biopsy confirmed oral metastasis from hepatocellular carcinoma.
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15
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Primary squamous cell carcinoma of lung leading to metastatic jaw tumor. Case Rep Pulmonol 2014; 2014:392616. [PMID: 25436166 PMCID: PMC4243604 DOI: 10.1155/2014/392616] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2014] [Accepted: 10/13/2014] [Indexed: 11/18/2022] Open
Abstract
Metastatic tumors to the orofacial region are unusual and they may occur in the oral soft tissues or jaw bones. Owing to their clinical variability the diagnosis of such tumors is often a dilemma. We report a unique case of mandibular metastasis which became the first evidence of an occult primary in the lung.
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16
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Oral floor and gingival metastasis of cholangiocarcinoma: a case report and review of the literature. Case Rep Pathol 2014; 2014:712912. [PMID: 24891967 PMCID: PMC4033480 DOI: 10.1155/2014/712912] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2014] [Accepted: 04/26/2014] [Indexed: 12/11/2022] Open
Abstract
The oral cavity is very unusual site of metastases even though wide spread metastatic disease may be present. The most common primary sites that metastasize to the oral cavity are lung, kidney, breast, and hepatocellular carcinoma. We present a rare case of a 77-year-old Caucasian female with metastasis from a cholangiocarcinoma to the oral floor contiguous with lingual gingival mucosa. The patient presented with left sided rib pain. A CT scan of the chest, abdomen, and pelvis showed multiple pulmonary nodules and a single dominant mass in the right lobe of the liver. This tumor was 6.5 cm with multiple satellite lesions surrounding it. The liver biopsy was diagnostic of a moderately to poorly differentiated adenocarcinoma, consistent with a primary cholangiocarcinoma. After undergoing one cycle of gemcitabine chemotherapy, the patient noticed an extremely rapidly growing mass involving her right lower gingiva and the entire right floor of her mouth. The biopsy of that mass also showed a moderately to poorly differentiated adenocarcinoma. The gingival tumor had a similar cytomorphology and immunophenotype as her cholangiocarcinoma. Therefore, an unusual site for metastatic cholangiocarcinoma was confirmed.
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17
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Yamauchi M, Shinozaki K, Doi M, Nitta T, Nishisaka T. A Case of Gingival Metastasis from Rectal Cancer in Which Immunohistochemistry and PET-CT Were Useful for the Diagnostic Procedure. Case Rep Oncol 2014; 7:246-51. [PMID: 24803903 PMCID: PMC3999573 DOI: 10.1159/000362185] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
A 50-year-old man was referred to our hospital because of a 2-month history of painful gingival swelling. Histopathological examination of the biopsy specimen showed a metastatic adenocarcinoma, and a chest-abdominopelvic CT showed multiple metastases in the lung, liver, and spleen, but failed to demonstrate the primary tumor. He had never complained of abdominal symptoms, and physical examination did not show any abnormality in the abdomen. However, immunohistochemical staining including caudal-related homeobox transcription factor (CDX-2) of the gingival tumor and PET-CT findings strongly suggested colorectal cancer as the origin. Colonoscopy then revealed a tumor in the rectum, and systemic chemotherapy was started immediately.
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Affiliation(s)
- Masami Yamauchi
- Division of Clinical Oncology, Hiroshima Prefectural Hospital, Hiroshima, Japan
| | - Katsunori Shinozaki
- Division of Clinical Oncology, Hiroshima Prefectural Hospital, Hiroshima, Japan
| | - Mihoko Doi
- Division of Clinical Oncology, Hiroshima Prefectural Hospital, Hiroshima, Japan
| | - Tomoko Nitta
- Division of Clinical Oncology, Hiroshima Prefectural Hospital, Hiroshima, Japan
| | - Takashi Nishisaka
- Division of Pathology, Hiroshima Prefectural Hospital, Hiroshima, Japan
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