肾细胞癌转移导致明显面部不对称

Metastasis of Renal Cell Carcinoma Causing Significant Facial Asymmetry.

作者信息

Netto Rafael, de Freitas Filho Silas Antonio Juvencio, Cortezzi Wladimir, Merly Flávio, de Andrade Vitor Marcello, Pires Fábio Ramôa

机构信息

Stomatology Service, Department of Oral Diagnosis and Pathology, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.

Department of Surgery, Stomatology, Pathology and Radiology (Area of Pathology), Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.

出版信息

Case Rep Surg. 2019 Nov 3;2019:6840873. doi: 10.1155/2019/6840873. eCollection 2019.

DOI:10.1155/2019/6840873

PMID:31781466

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6875185/

Abstract

The occurrence of metastatic tumors in the orofacial region is rare and may represent the first clinical manifestation of occult malignant disease. An orofacial lesion diagnosed as a metastatic tumor from a renal cell carcinoma in a 68-year-old man is reported. This metastatic tumor caused significant facial asymmetry involving the parotid gland and mandible regions, and the patient died four months after diagnosis. Here, we discuss the clinical aspects, the diagnostic approach, and the importance of early diagnosis to obtain a better response to treatment and provide longer survival time.

摘要

口腔颌面部转移性肿瘤的发生较为罕见，可能是隐匿性恶性疾病的首发临床表现。本文报道了一例68岁男性患者，其口腔颌面部病损经诊断为肾细胞癌转移瘤。该转移性肿瘤导致腮腺和下颌骨区域出现明显的面部不对称，患者在诊断后四个月死亡。在此，我们讨论了该病例的临床情况、诊断方法以及早期诊断对于获得更好治疗反应和延长生存时间的重要性。