Metastatic colorectal adenocarcinoma of the jaw – a case report

Murugaraj, V.; Bischoff, P.; Fasanya, S.; Hameed, Shahid; Suman, Amitabh

doi:10.1111/ors.12012

Cited by 3 publications

(1 citation statement)

References 7 publications

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“…In cases involving metastasis to the oral cavity, the mean survival period from the time of mass appearance to the time of death of a patient has been reported to be about 7 months [ 2 ]. Regarding metastasis to the gingiva, some cases have been documented showing that the duration of survival from the indication of gingival mass development was only within 1 year [ 6 , 14 , 15 ]. The present case also showed a short survival period of 4 months.…”

Section: Case Presentationmentioning

confidence: 99%

Metastatic rectal adenocarcinoma in the mandibular gingiva: a case report

et al. 2016

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BackgroundOral metastatic tumor from a rectal adenocarcinoma is very uncommon. The primary site is usually assumed based on the past clinical history. In the case of oral metastatic tumors, they commonly have a poor prognosis because often they have already spread to other sites.Case presentationWe present the case of a 64-year-old male patient with secondary metastasis to the mandibular gingiva via lung metastasis after the surgical resection of a primary rectal adenocarcinoma. The gingival lesion grossly appeared as a swollen mass, making mastication difficult. The patient received palliative radiotherapy for the mandibular mass lesion. However, tumor reduction was accompanied by the development of pneumonia and deterioration of the patient’s cachexia. Thus, the radiotherapy was discontinued but the patient died 2 months postradiotherapy. In the long term after its primary resection, the rectal adenocarcinoma was deduced to have finally metastasized to the oral region.ConclusionsIn this case, we consider a distant secondary metastasis to the oral region from a rectal malignancy. In such cases, careful clinical and pathologic evaluations are necessary, with careful consideration of the inclusion of palliative treatment in the therapeutic management.

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Section: Case Presentationmentioning

confidence: 99%

Metastatic rectal adenocarcinoma in the mandibular gingiva: a case report

et al. 2016

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The first case report of metastatic rectal adenocarcinoma to the oral vestibule in a young woman

et al. 2023

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Hidden colon adenocarcinoma diagnosed from mouth metastasis: case report and literature review

et al. 2023

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Background We report an unusual case of metastatic colon adenocarcinoma to the maxilla as an initial clinical sign of the disease, this being the second case reported in the palate. In addition, we show an extensive review of the literature, with clinical cases of adenocarcinoma with metastasis to the mouth. Case presentation An 80-year-old man complained of “swelling on the palate” with a 3-week evolution time. He reported suffering from constipation and high blood pressure. The intraoral examination revealed a pedunculated, red, and painless nodule on the maxillary gingiva. Under the diagnostic hypotheses of squamous cell carcinoma and malignant neoplasm of the salivary gland, an incisional biopsy was performed. Microscopically, the columnar epithelium was observed forming papillary areas, neoplastic cells with prominent nucleoli, hyperchromatic nuclei, atypical mitotic figures, and mucous cells, being positive for CK 20, suggesting the provisional diagnosis of metastatic adenocarcinoma, probably of gastrointestinal origin. The patient was submitted to endoscopy and colonoscopy exams, and a lesion in the sigmoid region of the colon was observed. After a colon biopsy, a moderately differentiated adenocarcinoma was confirmed, establishing the final diagnosis of metastatic neoplasia of colon adenocarcinoma to the oral lesion. The literature review revealed 45 clinical cases of colon adenocarcinoma with metastasis to the oral cavity. To the best of our knowledge, it is the second case on the palate. Conclusions Colon adenocarcinoma with metastasis to the oral cavity is rare but should be included in the differential diagnosis of neoplasms of the oral cavity, even when there are no known primary tumors in some cases, and this may be the first indication of the presence of a tumor.

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Metastatic colorectal adenocarcinoma of the jaw – a case report

Cited by 3 publications

References 7 publications

Metastatic rectal adenocarcinoma in the mandibular gingiva: a case report

Metastatic rectal adenocarcinoma in the mandibular gingiva: a case report

The first case report of metastatic rectal adenocarcinoma to the oral vestibule in a young woman

Hidden colon adenocarcinoma diagnosed from mouth metastasis: case report and literature review

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