Murray Louise J, Higham Jon, Suvarna S Kim, Craig Geoffrey T, Bridgewater Caroline H, Fisher Patricia M, Thornhill Martin H
Department of Clinical Oncology, Weston Park Hospital, Sheffield, UK.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011 Jan;111(1):e21-6. doi: 10.1016/j.tripleo.2010.05.009. Epub 2010 Sep 1.
We report a case of metastatic mesothelioma presenting as an oral metastasis in a 46-year-old patient. The patient presented with 2 polypoid lesions that appeared to be benign on the dorsum of the tongue. Excisional biopsy showed the presence of metastatic carcinoma that on further investigation proved to be mesothelioma. The initial presentation of mesothelioma as an oral metastasis is not previously reported. This article highlights the importance of biopsy and histopathological diagnosis in presumed benign lesions and the role of the general dental practitioner in screening for oral neoplasms.
我们报告了一例46岁患者转移性间皮瘤以口腔转移灶形式出现的病例。该患者舌背有2个息肉样病变，看似良性。切除活检显示存在转移性癌，进一步检查证实为间皮瘤。间皮瘤最初以口腔转移灶形式出现此前未见报道。本文强调了对疑似良性病变进行活检和组织病理学诊断的重要性，以及全科牙医在口腔肿瘤筛查中的作用。
