Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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A CLINICAL STUDY OF METASTATIC CARCINOMA TO ORAL SOFT TISSUE

구강내 연조직 전이암종의 임상적 연구

  • Park, Joo-Yong (Oral Cancer Clinic, Research Institute and Hospital, National Cancer Center) ;
  • Kim, Hyung-Sup (Oral Cancer Clinic, Research Institute and Hospital, National Cancer Center) ;
  • Ok, Yong-Ju (Dept. of Oral &Maxillofacial Surgery, College of Dentistry, Seoul National University) ;
  • Song, Jin-A (Dept. of Oral &Maxillofacial Surgery, College of Dentistry, Seoul National University) ;
  • Lee, Jong-Ho (Dept. of Oral &Maxillofacial Surgery, College of Dentistry, Seoul National University) ;
  • Kim, Myung-Jin (Dept. of Oral &Maxillofacial Surgery, College of Dentistry, Seoul National University) ;
  • Choi, Sung-Weon (Oral Cancer Clinic, Research Institute and Hospital, National Cancer Center)
  • 박주용 (국립암센터 구강종양클리닉) ;
  • 김형섭 (국립암센터 구강종양클리닉) ;
  • 옥용주 (서울대학교 치과대학 구강악안면외과학교실) ;
  • 송진아 (서울대학교 치과대학 구강악안면외과학교실) ;
  • 이종호 (서울대학교 치과대학 구강악안면외과학교실) ;
  • 김명진 (서울대학교 치과대학 구강악안면외과학교실) ;
  • 최성원 (국립암센터 구강종양클리닉)
  • Published : 2005.07.30
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Abstract

Metastatic tumours to oral soft tissue are uncommon and accounts for approximately 1% of malignant oral neoplasms. Because of its rarity and clinical appearance of benign nature, the diagnosis of a metastatic lesion in the oral soft tissue may be challenging, both to clinicians and pathologists. We analyzed the clinical data of 9 patients who had metastatic carcinoma to oral soft tissues. The metastatic site to oral soft tissue was the gingiva in all cases. The most common primary site was lung (6 cases) followed by liver (2 cases) and breast (1 case). The clinical appearance resembled gingiva hyperplasia, pyogenic granuloma or gingival swelling. In one case, the metastatic gingiva lesion was found before detection of primary cancer. The mean survival time after diagnosis of metastatic lesion was 3 months. Although this metastatic lesion is rare, oral and maxillofacial surgeon should recognized that benign inflammatory lesion may be the metastatic malignant lesion or the first sign of undiagnosed underlying malignancy.

Keywords

References

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