Rocha Breno-Amaral, Paranaíba Lívia-Maris-Ribeiro, Dantas Ciro-Dantas, de Carvalho Maria-Goretti-Freire, de Melo-Filho Mário-Rodrigues, Lima Lucianne-Maia-Costa, Souto Giovanna-Ribeiro, Horta Martinho-Campolina-Rebello
Graduate Program in Dentistry, School of Dentistry, Pontifícia Universidade Católica de Minas Gerais (PUC Minas), Belo Horizonte, Minas Gerais, Brazil.
Department of Pathology and Parasitology, Institute of Biomedical Sciences, Federal University of Alfenas, Alfenas, MG, Brazil.
J Clin Exp Dent. 2020 Oct 1;12(10):e999-e1004. doi: 10.4317/jced.57125. eCollection 2020 Oct.
Metastasis to the oral cavity are rare, representing only 1% of all oral malignancies, and originate from various sites such as the breast, prostate, lung and kidney. Clinically, they can simulate reactive and inflammatory lesions common in the oral cavity, and the clinical and microscopic diagnosis of these metastasis is a challenge. In this article, we report two new cases of esophageal and lung metastasis to oral tissues, highlighting their clinical characteristics and the process of diagnostic elucidation. We emphasize the importance for clinicians to consider the possibility of metastatic lesions in the oral cavity in patients previously diagnosed with malignant lesions in distant tissues and organs. Diagnosis, esophageal squamous cell carcinoma, adenocarcinoma of lung, oral cavity, metastasis.
口腔转移瘤较为罕见,仅占所有口腔恶性肿瘤的1%,其原发部位多样,如乳腺、前列腺、肺和肾脏等。临床上,它们可能类似口腔常见的反应性和炎性病变,对这些转移瘤进行临床及显微镜诊断颇具挑战。在本文中,我们报告了两例食管和肺转移至口腔组织的新病例,重点阐述了其临床特征及诊断思路。我们强调临床医生对于先前被诊断为远处组织和器官恶性病变的患者,应考虑口腔出现转移瘤的可能性。诊断:食管鳞状细胞癌、肺腺癌、口腔、转移。