Metastatic cervical carcinoma of the jaw presenting as periapical disease.

Autor: Torregrossa VR; Department of Oral Diagnosis, Semiology and Oral Pathology Areas, Piracicaba Dental School, University of Campinas (UNICAMP), Piracicaba, Brazil., Faria KM; Department of Oral Diagnosis, Semiology and Oral Pathology Areas, Piracicaba Dental School, University of Campinas (UNICAMP), Piracicaba, Brazil., Bicudo MM; Department of Oral Diagnosis, Semiology and Oral Pathology Areas, Piracicaba Dental School, University of Campinas (UNICAMP), Piracicaba, Brazil., Vargas PA; Department of Oral Diagnosis, Semiology and Oral Pathology Areas, Piracicaba Dental School, University of Campinas (UNICAMP), Piracicaba, Brazil., Almeida OP; Department of Oral Diagnosis, Semiology and Oral Pathology Areas, Piracicaba Dental School, University of Campinas (UNICAMP), Piracicaba, Brazil., Lopes MA; Department of Oral Diagnosis, Semiology and Oral Pathology Areas, Piracicaba Dental School, University of Campinas (UNICAMP), Piracicaba, Brazil., Santos-Silva AR; Department of Oral Diagnosis, Semiology and Oral Pathology Areas, Piracicaba Dental School, University of Campinas (UNICAMP), Piracicaba, Brazil.
Jazyk: angličtina
Zdroj: International endodontic journal [Int Endod J] 2016 Feb; Vol. 49 (2), pp. 203-11. Date of Electronic Publication: 2015 Mar 16.
DOI: 10.1111/iej.12442
Abstrakt: Aim: To present a case report of a metastasis from cervical cancer to the maxilla, which was misdiagnosed as periapical disease and to caution clinicians that metastases could have a disguised clinical presentation that must be taken into account in the differential diagnosis of periapical disease in oncologic patients.
Summary: Although metastatic tumours of the jaws are uncommon, they may mimic benign inflammatory processes and reactive lesions. The ability of metastatic lesions to mimic periapical disease is discussed and a brief review of the literature is presented, emphasizing the importance of correct diagnosis to prevent delay in diagnosing cancer. Attention should therefore be given to the patient's medical history, especially of those with a previous history of cancer, and all dental practitioners should be aware of the possibility of metastases that may be confused with periapical disease. Finally, endodontists are well placed to recognize malignant and metastatic oral lesions during the initial clinical stages, given that their treatments are usually based on frequent dental appointments and long-term follow-ups.
(© 2015 International Endodontic Journal. Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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