Toth B B, Fleming T J, Lomba J A, Martin J W
Oral Surg Oral Med Oral Pathol. 1981 Jul;52(1):71-4. doi: 10.1016/0030-4220(81)90176-6.
A case of angiosarcoma metastatic to the maxillary gingiva is presented. A review of the literature and an epidemiologic survey of angiosarcoma cases since 1944 at the M. D. Anderson Hospital and Tumor Institute prove this to be an extremely rare occurrence. Generally, metastasis to the oral/perioral tissues occurs as a late sequela secondary to diffuse metastatic disease. In this case, however, two extensive metastatic tumor surveys determined that the only metastasis was to the oral site. The lesion clinically mimicked an inflammatory process. It is hoped that this presentation will reinforce aggressive pursuit of innocuous-appearing oral lesions when the patient has a history of malignant disease and will further encourage dental involvement in the oral/dental assessment and are of the cancer patient.
本文报告一例转移至上颌牙龈的血管肉瘤病例。对文献的回顾以及对1944年以来MD安德森医院和肿瘤研究所血管肉瘤病例的流行病学调查证明，这是一种极为罕见的情况。一般来说，口腔/口周组织转移是弥漫性转移性疾病的晚期后遗症。然而，在该病例中，两次广泛的转移性肿瘤检查确定唯一的转移部位是口腔。该病变临床上类似于炎症过程。希望本病例报告能加强在患者有恶性疾病病史时对看似无害的口腔病变进行积极追查，并进一步鼓励牙科医生参与癌症患者的口腔/牙科评估及护理。
