Jaw metastasis as first presentation of lung adenocarcinoma. A case report

We present the case of a 64 year-old-female patient who was admitted to hospital complaining of pain and swelling located to the left mandibular ascending ramus and angle, with 7 month duration. The first differential diagnosis was between primary malignances of the oral cavity, but the biopsy revealed a carcinoma of unknown origin. Further investigation revealed an advanced stage primary adenocarcinoma of the lung. Oral metastasis are usually evidence of a widespread disease and indicate a poor prognosis. As consequence, the treatment modalities for these patients are palliative in most cases. The clinical case of a 41-year-old male evaluated for a tumor in the attached gingiva with previous periodontal treatment and a history of kidney transplantation is described. Excisional biopsy was performed with a diagnosis of KS, which after completing the study confirmed disseminated iatrogenic-type KS requiring a change in immunosuppressive medication and 6 cycles of chemotherapy treatment with complete response.RESUMEN Las met ástasis de la cavidad oral son lesiones raras y constituyen el 1 % de las enfermedades orales malignas. El cáncer de pulmón es el tumor primario que se disemina con más frecuencia en los maxilares, sobre todo en hombres, viéndose la mandíbula más afectada que la maxila. El caso que presentamo s corresponde a una paciente de 64 años que acudió a nuestro hospital con una tumefacción del ángulo y de la rama ascendente mandibular de 7 meses de evoluci...
Source: Revista Espanola de Cirugia Oral y Maxilofacial - Category: ENT & OMF Source Type: research