Specialist Registrar, Floor 23, Tower Wing, Oral Surgery Department, Guy´s Hospital, Guy´s and St Thomas´ NHS Foundation Trust, Great Maze Pond, London Bridge, SE1 9RT, UK.
Specialist Registrar (Oral Surgery), Royal London Hospital, Barts Health NHS Trust, London, UK.
Br Dent J. 2021 Nov;231(10):629-633. doi: 10.1038/s41415-021-3666-8. Epub 2021 Nov 25.
Metastatic spread to the oral cavity is a rare entity, comprising 1% of oral malignancies. However, 25% of oral metastases are found to be the initial sign of metastatic spread; therefore, initial presentation in the oral cavity may indicate significant underlying disease. Common primary sites for men include the prostate, lung, kidney and liver. For women, it is the breast, kidney, colon and genital organs. General dental practitioners are in a unique position to identify and instigate rapid referrals as gatekeepers of primary care whereby patients commonly present to them with symptoms. This clinical review article aims to educate dental practitioners on appropriate recognition of oral metastatic pathology and referral to secondary care.
转移性扩散至口腔是一种罕见的现象，占口腔恶性肿瘤的 1%。然而，25%的口腔转移被发现是转移性扩散的初始迹象；因此，口腔的初始表现可能表明存在严重的潜在疾病。男性常见的原发部位包括前列腺、肺、肾和肝。对于女性，原发部位则是乳房、肾、结肠和生殖器官。一般牙医具有独特的地位，可以识别并迅速转介患者，他们是初级保健的把关者，患者通常会因症状而到他们那里就诊。本文旨在教育牙医识别口腔转移性病变并转介至二级保健的适当方法。
