Document Detail

Gingival metastasis of a bronchogenic adenocarcinoma: report of a case.
MedLine Citation:
PMID:  17942337     Owner:  NLM     Status:  MEDLINE    
We report the case of a 64-year-old patient suffering from a multiple metastatic bronchial adenocarcinoma, referred to our department for a gingival tumefaction. The diagnostic assumptions considered were those of a pyogenic granuloma, of a primary gingival carcinoma, or of a metastasis of the bronchial tumor. An excisional biopsy was carried out and the histopathologic examination confirmed the latter diagnosis. No complementary care was performed because of the multiple localizations and unfavorable prognosis. If metastases of pulmonary cancers represent the majority of gingival metastases, those of bronchial adenocarcinoma are very rare. Metastatic process could be facilitated by Batson's plexus, through the periodontal inflammation or the direct bronchotracheal way. The main clinical diagnostic difficulty is the distinction between benign lesion and malignant lesion, and between primary lesion and metastasis. Even if gingival metastases are rare, their semiological value incites the histopathologic examination of any presumedly benign tumor of the gingiva.
Rémi Curien; Hervé Moizan; Eric Gerard
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-10-17
Journal Detail:
Title:  Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics     Volume:  104     ISSN:  1528-395X     ISO Abbreviation:  Oral Surg Oral Med Oral Pathol Oral Radiol Endod     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-11-26     Completed Date:  2008-01-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9508562     Medline TA:  Oral Surg Oral Med Oral Pathol Oral Radiol Endod     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e25-8     Citation Subset:  D; IM    
Department of Odontology, Metz-Thionville Regional Hospital Center, Thionville and Metz, France.
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MeSH Terms
Carcinoma, Bronchogenic / secondary*,  therapy
Diagnosis, Differential
Gingival Neoplasms / secondary*,  therapy
Lung Neoplasms*
Middle Aged

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