Article

[Gingival metastasis from the lung through a needle and a pin: a case report].

Service de radiothérapie carcinologique, Institut Salah-Azaïz, Tunis, Tunisie.
Cancer/Radiothérapie (impact factor: 1.49). 01/2008; 11(8):500-2. DOI:10.1016/j.canrad.2007.09.147 pp.500-2
Source: PubMed

ABSTRACT Gingival metastases are very rare. We report the case of a 47 year-old man presenting with a gingival metastasis from a non small cell lung carcinoma. According to the literature, the most probable way of spread of such metastasis is haematogenous. Local implantation of cancer cells, present in patient's expectorations, in a fragile gingiva may be an other pathway of lung cancer metastasizing in this region as we will try to describe in this case report. Cytological and/or histological investigation is needed to assess the malignant and the metastatic character of these gingival lesions. A rapid regression is observed after a flash of external beam radiation; nevertheless metastasis prognosis depends on the primary tumour progress.

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Keywords

47 year-old man
 
cancer cells
 
external beam radiation
 
fragile gingiva
 
gingival lesions
 
Gingival metastases
 
gingival metastasis
 
lung cancer metastasizing
 
metastasis prognosis
 
metastatic character
 
primary tumour progress
 
rapid regression