Lung Adenocarcinoma with Gingival Metastasis

Gargouri, Imen and Hergli, Benzarti Wafa and Aissa, Sana and Kanoun-Belajouza, Samia and Hayouni, Abdelaziz and Garrouche, Abdelhamid and Abdelghani, Ahmed and Benzarti, Mohamed (2018) Lung Adenocarcinoma with Gingival Metastasis. European Journal of Case Reports in Internal Medicine, 5 (6). ISSN 2284-2594

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Abstract

Gingival metastasis of lung cancer is uncommon. We report the case of an 82-year-old male smoker admitted to the pulmonology department with right pleural effusion. A chest computed tomography (CT) scan showed an invasive right hilar tumour, adherent to the superior vena cava, pulmonary artery, main right bronchus, mediastinal pleura and pericardium with lymphangitic carcinomatosis of the right lung. Pleural biopsy revealed pleural metastasis of pulmonary adenocarcinoma, its primary lung origin being confirmed by immunohistochemistry. One month later, the patient developed an ulcerated polypoid gingival mass. Biopsy of this lesion showed a poorly differentiated carcinoma compatible with metastasis from the lung adenocarcinoma. The patient underwent irradiation of the gingival mass at a dose of 30 Gray, but his condition worsened rapidly and he was not fit for chemotherapy. He received palliative treatment and died 2 months after diagnosis of his metastatic lung cancer.

Item Type: Article
Uncontrolled Keywords: Lung adenocarcinoma, gingival metastasis
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale)
Depositing User: Chiara D'Arpa
Date Deposited: 08 Aug 2018 11:08
Last Modified: 08 Aug 2018 11:08
URI: http://eprints.bice.rm.cnr.it/id/eprint/18161

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