Scipio J E, Murti P R, Al-Bayaty H F, Matthews R, Scully C
School of Dentistry, Faculty of Medical Sciences, Eric Williams Medical Sciences Complex, Uriah Butler Highway, Champ Fleurs, Trinidad and Tobago, West Indies.
Oral Oncol. 2001 Jun;37(4):393-6. doi: 10.1016/s1368-8375(00)00103-2.
Metastatic tumours to the oral region are rare but more often involve the jaws rather than the oral soft tissues. In this report, an infiltrative ductal carcinoma of the breast that metastasised to the mandibular gingiva is presented. The patient consulted her dentist for what she thought was a dental abscess in the bicuspid region of the lower left jaw. However, her dentist referred her for a specialist opinion of the lesion. The patient's medical history revealed that she had undergone a breast 'lumpectomy' 1 year previously. A provisional diagnosis of primary or metastatic malignancy was made, and a biopsy was performed. Microscopically, the lesion showed features of a poorly differentiated infiltrative ductal carcinoma. Subsequent microscopic review of the primary lesion also showed a poorly differentiated infiltrating ductal carcinoma of the breast identical to the features observed in the metastatic lesion.
转移至口腔区域的肿瘤较为罕见，且更常累及颌骨而非口腔软组织。在本报告中，呈现了一例乳腺浸润性导管癌转移至下颌牙龈的病例。患者因左下颔双尖牙区她认为是牙脓肿的问题咨询了牙医。然而，她的牙医将她转诊以获取该病变的专科意见。患者的病史显示她一年前接受了乳房“肿块切除术”。做出了原发性或转移性恶性肿瘤的初步诊断，并进行了活检。显微镜下，病变呈现出低分化浸润性导管癌的特征。随后对原发性病变的显微镜复查也显示为乳腺低分化浸润性导管癌，与转移病变中观察到的特征相同。
