Dib Luciano Lauria, Soares Ana Laura, Sandoval Renata Lazzari, Nannmark Ulf
Universidade Paulista, São Paulo, Brazil.
Clin Implant Dent Relat Res. 2007 Jun;9(2):112-5. doi: 10.1111/j.1708-8208.2007.00033.x.
Metastases to the oral cavity and to the jaws are rare; hence, the clinical manifestations of the oral metastasis lesion could frequently be simulating general pathologic entities, making the diagnosis a challenging process to the dental team. Local factors, such as trauma, have been observed to facilitate the growth of blood-borne tumors. To this end, surgical procedures such as fixture placement might cause cancer cells to spread.
Careful clinical examination is a valuable help in diagnosing oral lesions, which can improve the quality of life of patients and reduce the risks of oral complications.
A female patient was referred to the clinic with symptoms of irritation, swelling, and pain associated with implants in the mandible and the maxilla.
Clinical examination, x-ray, and histopathology revealed that the patients suffered from a metastatic lesion, primary tumor being an adenocarcinoma of the breast diagnosed at the same time.
Optimal clinical examination in conjunction with radiography and histopathology is a necessity in order to discover malignant lesions in time. Routine dental check-ups must comprise more thorough soft-tissue examination.
口腔和颌骨转移瘤较为罕见；因此，口腔转移瘤病变的临床表现常常类似一般的病理实体，这使得牙科团队的诊断过程颇具挑战性。已观察到诸如创伤等局部因素会促进血源性肿瘤的生长。为此，诸如种植体植入等外科手术可能会导致癌细胞扩散。
细致的临床检查对诊断口腔病变很有帮助，可提高患者生活质量并降低口腔并发症风险。
一名女性患者因下颌骨和上颌骨种植体出现刺激、肿胀和疼痛症状被转诊至诊所。
临床检查、X线检查和组织病理学检查显示，该患者患有转移性病变，同时诊断出原发性肿瘤为乳腺腺癌。
为及时发现恶性病变，进行最佳的临床检查并结合影像学检查和组织病理学检查很有必要。常规牙科检查必须包含更全面的软组织检查。
