Ellis G L, Jensen J L, Reingold I M, Barr R J
Veterans Administration Hospital, Long Beach, Calif.
Oral Surg Oral Med Oral Pathol. 1977 Aug;44(2):238-45. doi: 10.1016/0030-4220(77)90274-2.
Malignant neoplasms metastatic to the gingivae are rare. Our review of the literature revealed only eight acceptable examples. We are reporting two additional cases. One patient was a 58-year-old man with an adenocarcinoma of the lung which metastasized bilaterally to the maxillary gingiva. The second patient was a 27-year-old man with a synovial sarcoma which metastasized to multiple sites in the maxillary and mandibular gingiva. Clinically, gingival metastatic lesions are most often confused with hemangioma, pyogenic granuloma, giant-cell granuloma, and pepripheral fibroma. They usually occur late in the course of the disease and are associated with metastatic deposits in many other organs and tissues. Death usually occurs in a few weeks or months after discovery of the gingival metastasis.
转移至牙龈的恶性肿瘤很罕见。我们对文献的回顾仅发现了8个可接受的病例。我们现报告另外2例。1例患者为58岁男性，患有肺腺癌，双侧转移至上颌牙龈。第2例患者为27岁男性，患有滑膜肉瘤，转移至上颌和下颌牙龈的多个部位。临床上，牙龈转移瘤最常与血管瘤、化脓性肉芽肿、巨细胞肉芽肿和外周纤维瘤相混淆。它们通常在疾病病程后期出现，并与许多其他器官和组织中的转移灶相关。通常在发现牙龈转移后的几周或几个月内死亡。
