Pancreatic Carcinoma Metastatic to the Gingiva
Autor: | Arijan Zubovic, Jasna Marušić, Gordana Zamolo, David Harmicar, Damir Vučinić, Margita Belušić-Gobić |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Abdominal pain
medicine.medical_specialty BIOMEDICINE AND HEALTHCARE. Clinical Medical Sciences Gingival Neoplasm pancreatic cancer Case Report Metastasis 03 medical and health sciences 0302 clinical medicine Pancreatic tumor Pancreatic cancer Biopsy medicine metastasis lcsh:R5-920 adenocarcinoma medicine.diagnostic_test business.industry BIOMEDICINA I ZDRAVSTVO. Kliničke medicinske znanosti 030206 dentistry General Medicine medicine.disease medicine.anatomical_structure 030220 oncology & carcinogenesis immunohistochemistry Adenocarcinoma Radiology medicine.symptom Pancreas business lcsh:Medicine (General) |
Zdroj: | Clinics and Practice Volume 11 Issue 1 Clinics and Practice, Vol 11, Iss 10, Pp 58-64 (2021) |
ISSN: | 2039-7283 |
Popis: | Metastatic tumors to the oral cavity are uncommon, representing approximately 1% of all cases of oral malignant lesions even when a metastatic disease is present. The 53-year-old female is presented complaining of abdominal pain, weight loss, and a loose stool recurring not more than three times per day. A computed tomography (CT) scan of the abdomen showed a retroperitoneal mass expanding along the body of the pancreas. Colonoscopy and gastroscopy with a gastric mucosa biopsy showed a normal result. After laparoscopic surgery, the primary site of adenocarcinoma was not confirmed. The patient was referred to the Maxillofacial Surgery Clinic with pain, swelling, and occasional bleeding around the lower right second mollar. Immunohistochemicaly, the tumor cells were positive for Cytokeratin (CK) 19, Cytokeratin (CK) 7, and homebox protein (CDX-2), which are highly sensitive markers of pancreatobiliar cancer. Therefore, the patient was diagnosed with pancreatic carcinoma. This report describes a rare metastasis of malignant pancreatic tumor to the lower right gingiva and highlights the importance of immunohistochemical examination and how it helped identify both the origin and the nature of gingival neoplasm. |
Databáze: | OpenAIRE |
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