Cancer of the mandibular gingiva metastasizing to the small intestine

Head and neck cancer metastasizing to the small intestine is very rare. Here we report a case of cancer of the mandibular gingiva metastasizing to the small intestine. The patient was an 82-year-old man who had squamous cell carcinoma of the mandibular gingiva staged as T2N2bM0. Two months after sur...

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Veröffentlicht in:Auris, nasus, larynx nasus, larynx, 2019-06, Vol.46 (3), p.479-482
Hauptverfasser: Okamura, Takeshi, Beppu, Takeshi, Tokumaru, Takao, Yamada, Masato, Sugiyama, Tomonori, Koide, Nobuaki, Tani, Miyuki, Kaneko, Masayuki, Hamahata, Atsumori, Nishimura, Yu, Fukuda, Takashi
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container_end_page 482
container_issue 3
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container_title Auris, nasus, larynx
container_volume 46
creator Okamura, Takeshi
Beppu, Takeshi
Tokumaru, Takao
Yamada, Masato
Sugiyama, Tomonori
Koide, Nobuaki
Tani, Miyuki
Kaneko, Masayuki
Hamahata, Atsumori
Nishimura, Yu
Fukuda, Takashi
description Head and neck cancer metastasizing to the small intestine is very rare. Here we report a case of cancer of the mandibular gingiva metastasizing to the small intestine. The patient was an 82-year-old man who had squamous cell carcinoma of the mandibular gingiva staged as T2N2bM0. Two months after surgery, he presented with lower abdominal pain accompanied by signs of peritoneal irritation. Urgent abdominal surgery was performed, during which a crater-shaped perforation was noted on the wall of the ileum. Microscopic findings at this site confirmed a diagnosis of metastatic squamous cell carcinoma in the small intestine from the mandibular gingiva. To our knowledge, this is the first case report of oral cancer metastasizing to the small intestine. If gastrointestinal symptoms appear in a patient with advanced oral cancer, a differential diagnosis of metastasis to the gastrointestinal tract should be kept in mind.
doi_str_mv 10.1016/j.anl.2018.08.006
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source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Aged, 80 and over
Gingival Neoplasms - pathology
Gingival Neoplasms - surgery
Head and neck cancer
Head and Neck Neoplasms - pathology
Humans
Ileal Neoplasms - complications
Ileal Neoplasms - secondary
Intestinal Perforation - etiology
Lymph Nodes - pathology
Male
Mandible - surgery
Mandibular gingiva
Mandibular Osteotomy
Mandibular Reconstruction
Neck
Neck Dissection
Neoplasm Staging
Oral cancer
Small intestine
Squamous Cell Carcinoma of Head and Neck - complications
Squamous Cell Carcinoma of Head and Neck - secondary
title Cancer of the mandibular gingiva metastasizing to the small intestine
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