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A challenging diagnosis: Case report of oral metastasis from gastric adenocarcinoma mimicking pyogenic granuloma.

Abstract Oral metastases occur more commonly in bone, but can also manifest in soft tissues and eventually resemble a reactive lesion. Few cases of oral metastases mimicking reactive lesions in soft tissues have been reported to date.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29595701
OWN - NLM
STAT- MEDLINE
DCOM- 20180411
LR  - 20180411
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 13
DP  - 2018 Mar
TI  - A challenging diagnosis: Case report of oral metastasis from gastric
      adenocarcinoma mimicking pyogenic granuloma.
PG  - e9934
LID - 10.1097/MD.0000000000009934 [doi]
AB  - RATIONALE: Oral metastases occur more commonly in bone, but can also manifest in 
      soft tissues and eventually resemble a reactive lesion. Few cases of oral
      metastases mimicking reactive lesions in soft tissues have been reported to date.
      PATIENT CONCERNS: We report a metastasis of gastric carcinoma (GC) to the oral
      mucosa without bone involvement in a 43 yom clinically and microscopically
      mimicking a reactive lesion. The patient related that the lesion had 1 month of
      evolution, and the ulcerated area suggested the lesion was related to trauma.
      DIAGNOSES: The histopathological examination of the lesion revealed an exuberant 
      granulation tissue with few neoplastic cells, and the initial diagnosis of
      pyogenic granuloma was considered. In a second analysis, clusters of clear cells 
      morphologically similar to degenerating mucous cells or macrophages, positive for
      Cytokeratin (CK)-20, and CDX2 were found. At the moment, it was confirmed the
      presence of a primary GC in the patient. INTERVENTIONS: A palliative
      radiotherapy/chemotherapy was started. OUTCOMES: However, the patient died 3
      months after the diagnosis of oral metastasis. LESSONS: This report highlights
      the importance of careful clinical and microscopic examinations in cases of oral 
      metastasis that may mimic a reactive lesion.
FAU - Soares, Ciro Dantas
AU  - Soares CD
FAU - Rocha, Breno Amaral
AU  - Rocha BA
AD  - Oncologic Dentistry Service, Santa Casa Hospital, Montes Claros, Minas Gerais.
FAU - Paranaiba, Livia Maris Ribeiro
AU  - Paranaiba LMR
FAU - de Melo-Filho, Mario Rodrigues
AU  - de Melo-Filho MR
FAU - Jorge, Jacks
AU  - Jorge J
AD  - Piracicaba Dental School, University of Campinas, Piracicaba, Sao Paulo.
FAU - de Carvalho, Maria Goretti Freire
AU  - de Carvalho MGF
AD  - Laboratorio de Citopatologia, Private Service, Natal, Rio Grande do Norte,
      Brazil.
FAU - de Almeida, Oslei Paes
AU  - de Almeida OP
AD  - Piracicaba Dental School, University of Campinas, Piracicaba, Sao Paulo.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adenocarcinoma/*pathology
MH  - Adult
MH  - Diagnosis, Differential
MH  - Granuloma, Pyogenic/diagnosis
MH  - Humans
MH  - Male
MH  - Mouth Neoplasms/*diagnosis/*secondary
MH  - Stomach Neoplasms/*pathology
EDAT- 2018/03/30 06:00
MHDA- 2018/04/12 06:00
CRDT- 2018/03/30 06:00
PHST- 2018/03/30 06:00 [entrez]
PHST- 2018/03/30 06:00 [pubmed]
PHST- 2018/04/12 06:00 [medline]
AID - 10.1097/MD.0000000000009934 [doi]
AID - 00005792-201803300-00074 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Mar;97(13):e9934. doi: 10.1097/MD.0000000000009934.