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 |
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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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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.</description><identifier>ISSN: 0385-8146</identifier><identifier>EISSN: 1879-1476</identifier><identifier>DOI: 10.1016/j.anl.2018.08.006</identifier><identifier>PMID: 30170905</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>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</subject><ispartof>Auris, nasus, larynx, 2019-06, Vol.46 (3), p.479-482</ispartof><rights>2018 Elsevier B.V.</rights><rights>Copyright © 2018 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c443t-4f08bea620ebf90d37d158917adeb4270cb8086c3b09e99a8dbd1d2ab9c6993</citedby><cites>FETCH-LOGICAL-c443t-4f08bea620ebf90d37d158917adeb4270cb8086c3b09e99a8dbd1d2ab9c6993</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.anl.2018.08.006$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30170905$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Okamura, Takeshi</creatorcontrib><creatorcontrib>Beppu, Takeshi</creatorcontrib><creatorcontrib>Tokumaru, Takao</creatorcontrib><creatorcontrib>Yamada, Masato</creatorcontrib><creatorcontrib>Sugiyama, Tomonori</creatorcontrib><creatorcontrib>Koide, Nobuaki</creatorcontrib><creatorcontrib>Tani, Miyuki</creatorcontrib><creatorcontrib>Kaneko, Masayuki</creatorcontrib><creatorcontrib>Hamahata, Atsumori</creatorcontrib><creatorcontrib>Nishimura, Yu</creatorcontrib><creatorcontrib>Fukuda, Takashi</creatorcontrib><title>Cancer of the mandibular gingiva metastasizing to the small intestine</title><title>Auris, nasus, larynx</title><addtitle>Auris Nasus Larynx</addtitle><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.</description><subject>Aged, 80 and over</subject><subject>Gingival Neoplasms - pathology</subject><subject>Gingival Neoplasms - surgery</subject><subject>Head and neck cancer</subject><subject>Head and Neck Neoplasms - pathology</subject><subject>Humans</subject><subject>Ileal Neoplasms - complications</subject><subject>Ileal Neoplasms - secondary</subject><subject>Intestinal Perforation - etiology</subject><subject>Lymph Nodes - pathology</subject><subject>Male</subject><subject>Mandible - surgery</subject><subject>Mandibular gingiva</subject><subject>Mandibular Osteotomy</subject><subject>Mandibular Reconstruction</subject><subject>Neck</subject><subject>Neck Dissection</subject><subject>Neoplasm Staging</subject><subject>Oral cancer</subject><subject>Small intestine</subject><subject>Squamous Cell Carcinoma of Head and Neck - complications</subject><subject>Squamous Cell Carcinoma of Head and Neck - secondary</subject><issn>0385-8146</issn><issn>1879-1476</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtKAzEUhoMotlYfwI3M0s2MJzPTSYIrKfUCBRe6D7mcqSlzqcmMoE9vaqtL4YfA4Tv_IR8hlxQyCrS62WSqa7IcKM8gBqojMqWciZSWrDomUyj4POW0rCbkLIQNABSsEKdkUgBlIGA-JcuF6gz6pK-T4Q2TVnXW6bFRPlm7bu0-VNLioEKM-4qDZOh_uNCqpklcN2AYXIfn5KRWTcCLwzsjL_fL18Vjunp-eFrcrVJTlsWQljVwjarKAXUtwBbM0jkXlCmLuswZGM2BV6bQIFAIxa221OZKC1MJUczI9b516_v3MV6WrQsGm0Z12I9B5iA4Y8BEHlG6R43vQ_BYy613rfKfkoLcuZMbGd3JnTsJMVDFnatD_ahbtH8bv7IicLsHMH7xw6GXwTiM-qzzaAZpe_dP_TfvXn-J</recordid><startdate>201906</startdate><enddate>201906</enddate><creator>Okamura, Takeshi</creator><creator>Beppu, Takeshi</creator><creator>Tokumaru, Takao</creator><creator>Yamada, Masato</creator><creator>Sugiyama, Tomonori</creator><creator>Koide, Nobuaki</creator><creator>Tani, Miyuki</creator><creator>Kaneko, Masayuki</creator><creator>Hamahata, Atsumori</creator><creator>Nishimura, Yu</creator><creator>Fukuda, Takashi</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201906</creationdate><title>Cancer of the mandibular gingiva metastasizing to the small intestine</title><author>Okamura, Takeshi ; Beppu, Takeshi ; Tokumaru, Takao ; Yamada, Masato ; Sugiyama, Tomonori ; Koide, Nobuaki ; Tani, Miyuki ; Kaneko, Masayuki ; Hamahata, Atsumori ; Nishimura, Yu ; Fukuda, Takashi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c443t-4f08bea620ebf90d37d158917adeb4270cb8086c3b09e99a8dbd1d2ab9c6993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged, 80 and over</topic><topic>Gingival Neoplasms - pathology</topic><topic>Gingival Neoplasms - surgery</topic><topic>Head and neck cancer</topic><topic>Head and Neck Neoplasms - pathology</topic><topic>Humans</topic><topic>Ileal Neoplasms - complications</topic><topic>Ileal Neoplasms - secondary</topic><topic>Intestinal Perforation - etiology</topic><topic>Lymph Nodes - pathology</topic><topic>Male</topic><topic>Mandible - surgery</topic><topic>Mandibular gingiva</topic><topic>Mandibular Osteotomy</topic><topic>Mandibular Reconstruction</topic><topic>Neck</topic><topic>Neck Dissection</topic><topic>Neoplasm Staging</topic><topic>Oral cancer</topic><topic>Small intestine</topic><topic>Squamous Cell Carcinoma of Head and Neck - complications</topic><topic>Squamous Cell Carcinoma of Head and Neck - secondary</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Okamura, Takeshi</creatorcontrib><creatorcontrib>Beppu, Takeshi</creatorcontrib><creatorcontrib>Tokumaru, Takao</creatorcontrib><creatorcontrib>Yamada, Masato</creatorcontrib><creatorcontrib>Sugiyama, Tomonori</creatorcontrib><creatorcontrib>Koide, Nobuaki</creatorcontrib><creatorcontrib>Tani, Miyuki</creatorcontrib><creatorcontrib>Kaneko, Masayuki</creatorcontrib><creatorcontrib>Hamahata, Atsumori</creatorcontrib><creatorcontrib>Nishimura, Yu</creatorcontrib><creatorcontrib>Fukuda, Takashi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Auris, nasus, larynx</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Okamura, Takeshi</au><au>Beppu, Takeshi</au><au>Tokumaru, Takao</au><au>Yamada, Masato</au><au>Sugiyama, Tomonori</au><au>Koide, Nobuaki</au><au>Tani, Miyuki</au><au>Kaneko, Masayuki</au><au>Hamahata, Atsumori</au><au>Nishimura, Yu</au><au>Fukuda, Takashi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cancer of the mandibular gingiva metastasizing to the small intestine</atitle><jtitle>Auris, nasus, larynx</jtitle><addtitle>Auris Nasus Larynx</addtitle><date>2019-06</date><risdate>2019</risdate><volume>46</volume><issue>3</issue><spage>479</spage><epage>482</epage><pages>479-482</pages><issn>0385-8146</issn><eissn>1879-1476</eissn><abstract>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. 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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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