Metastatic carcinoma of the oral region: An analysis of 21 cases
Med. oral patol. oral cir. bucal (Internet)
; 22(3): e359-e365, mayo 2017. tab
Article
in English
| IBECS
| ID: ibc-163204
Responsible library:
ES1.1
Localization: BNCS
ABSTRACT
BACKGROUND:
Metastatic carcinoma to the jaws and oral region are very rare, representing less than 1% of all oral tumors. Unfortunately, oral metastasis is usually manifestation of an advanced stage of primary cancer, and indicates widespread disease and poor prognosis. MATERIAL ANDMETHODS:
In this retrospective study, a total of 2039 patients with history of oral malignant tumor between 1980 and 2012 at Seoul National University Dental Hospital were evaluated. We analyzed the dental and medical records, and histopathological database of 2039 patients to assess the prevalence of oral metastasis of carcinoma in terms of sex and age, as well as, the most common origin of primary cancer, and prevalent site and histopathological type of metastatic carcinoma.RESULTS:
Among 2039 patients, 21 (1.03%) were finally diagnosed with metastatic carcinoma of the jaws and oral region. Among the 21 patients, only 11 had a working diagnosis as oral metastasis upon clinical evaluation before performing a biopsy. The mean age at the time of diagnosis with a metastatic carcinoma was 56.86, and there was a male preponderance. Metastatic carcinoma was more frequent in the jaws than in the soft tissue, especially in the mandible compared to the maxilla. The most frequent primary site was the lungs, followed by the liver and breasts. The predominant histopathological types were hepatocellular carcinoma and adenocarcinoma. Patient outcomes indicated a poor prognosis with the time from the appearance of the metastasis to death was only 12 months.CONCLUSIONS:
According to these cases, oral metastases of carcinoma were exceedingly rare in Koreans. It can allow the clinicians take into account the possible presence of metastases and lead to early diagnosis
Full text:
Available
Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Mouth Neoplasms
/
Maxillary Neoplasms
Type of study:
Observational study
/
Prognostic study
/
Risk factors
/
Screening study
Limits:
Humans
Country/Region as subject:
Asia
Language:
English
Journal:
Med. oral patol. oral cir. bucal (Internet)
Year:
2017
Document type:
Article
Institution/Affiliation country:
Kyung Hee University Dental Hospital/Republic of Korea
/
Seoul National University/Republic of Korea