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Exophytic mass of the gingiva as the first manifestation of metastatic pulmonary adenocarcinoma.

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Exophytic mass of the gingiva as the first manifestation of metastatic pulmonary adenocarcinoma.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Pozzi, Elena C. Ferrazzini Altermatt, Hans Jörg Rees, Terry D. Bornstein, Michael M.
Description	Country affiliation: Switzerland Author Affiliation: Pozzi EC ( Department of Oral Surgery and Stomatology, School of Dental Medicine, University of Bern, Bern, Switzerland.)
Abstract	BACKGROUND: Metastasis of a malignant tumor to the oral cavity is rare, but it can be the first manifestation of a primary tumor. METHODS: The clinicopathologic features of a gingival metastasis originating from lung adenocarcinoma in a female patient are described. A 57-year-old woman showed a rapidly growing, painless, exophytic mass in the left mandibular gingiva. The whole lesion was excised, and histologic and immunohistochemical analyses were performed. RESULTS: The histopathologic sections showed a proliferation of poorly differentiated spindle and pleomorphic cells. Because the differentiation between carcinoma and sarcoma of spindle cell tumors was difficult, additional immunohistochemical evaluation was performed. The intraoral healing after tumor removal was uneventful. The discrepancy between the histopathologic results and the clinical findings led to a thorough examination by the patient's physician. Finally, a biopsy of the lungs confirmed a poorly differentiated adenocarcinoma with multiple metastases, including the oral cavity. CONCLUSIONS: An exophytic lesion on the gingiva can be the first sign of metastatic adenocarcinoma to the oral mucosa. This case emphasizes that even apparently benign-looking gingival lesions in anamnestically healthy patients need to be examined histopathologically.
File Format	HTM / HTML
ISSN	00223492
Issue Number	1
Volume Number	79
e-ISSN	19433670
Journal	Journal of Periodontology
Language	English
Publisher	American Academy of Periodontology
Publisher Date	2008-01-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Dentistry Adenocarcinoma Secondary Gingival Neoplasms Lung Neoplasms Diagnosis Pathology Biopsy Diagnosis, Differential Fatal Outcome Female Homeodomain Proteins Analysis Humans Immunohistochemistry Keratin-7 Mandible Middle Aged Nuclear Proteins Transcription Factors Case Reports Journal Article
Content Type	Text
Resource Type	Case study Article
Subject	Periodontics

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