结肠腺癌转移至上颌牙龈和腭部
Metastasis of Colon Adenocarcinoma to Maxillary Gingiva and Palate.
作者信息
Dalirsani Zohreh, Mohtasham Nooshin, Samiee Negin
机构信息
Oral and Maxillofacial Diseases Research Center, Dental Faculty, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Oral and Maxillofacial Pathology, Dental Faculty, Mashhad University of Medical Sciences, Mashhad, Iran.
出版信息
Iran J Otorhinolaryngol. 2020 Sep;32(112):327-331. doi: 10.22038/ijorl.2020.42693.2394.
INTRODUCTION
Colon adenocarcinoma is one of the foremost causes of cancer mortality. Oral metastasis of colon adenocarcinoma is, however, rare and indicates an end-stage disease process.
CASE REPORT
We report a case of a 69-year-old female with a gingival mass diagnosed with colon adenocarcinoma and liver metastasis after one year. A swelling was found in the maxillary right buccal and lingual gingiva during physical examination. Tissue biopsy revealed an intestinal metastatic adenocarcinoma. The patient underwent chemotherapy for treatment. We also reviewed all reported cases of gingival metastasis due to colon adenocarcinoma.
CONCLUSION
Careful examination of the oral cavity in patients with the adenocarcinomas of various organs is beneficial in the early diagnosis of metastasis since the most frequent metastatic lesion of the oral cavity is adenocarcinoma.
引言
结肠腺癌是癌症死亡的主要原因之一。然而，结肠腺癌的口腔转移罕见，提示疾病已处于终末期。
病例报告
我们报告一例69岁女性，其牙龈肿物被诊断为结肠腺癌，一年后发现肝转移。体格检查时在上颌右侧颊侧和舌侧牙龈发现肿物。组织活检显示为肠道转移性腺癌。患者接受化疗。我们还回顾了所有报道的结肠腺癌牙龈转移病例。
结论
由于口腔最常见的转移瘤为腺癌，因此仔细检查各器官腺癌患者的口腔有助于早期诊断转移。
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