中国口腔颌面外科杂志 ›› 2020, Vol. 18 ›› Issue (4): 381-384.doi: 10.19438/j.cjoms.2020.04.019

• 病例报告 • 上一篇    

直肠腺癌转移至牙龈1例报告及文献复习

佘杨杨1, 林义佳2, 刘志勇1, 陈洁玉1, 陈雪英1, 葛雅平1   

  1. 1.中山大学附属第六医院 口腔颌面外科,广东 广州 510655;
    2.中山大学附属第六医院 食管胃肠外科,广东省结直肠盆底疾病研究重点实验室,广东 广州 510655
  • 收稿日期:2019-10-14 出版日期:2020-07-20 发布日期:2020-09-10
  • 通讯作者: 葛雅平,E-mail: yapingge@163.com
  • 作者简介:佘杨杨(1989-),女,硕士,住院医师,E-mail: sheyangyang7@163.com
  • 基金资助:
    中山大学2018年本科教学改革与建设一次性专项(88000-31911100)

Gingival metastasis from rectal adenocarcinoma: A case report and literature review

SHE Yang-yang1, LIN Yi-jia2, LIU Zhi-yong1, CHEN Jie-yu1, CHEN Xue-ying1, GE Ya-ping1   

  1. 1. Department of Oral and Maxillofacial Surgery, The Sixth Affiliated Hospital of Sun Yat-sen University. Guangzhou 510655;
    2. Department of Gastrointestinal Surgery, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, The Sixth Affiliated Hospital of Sun Yat-sen University. Guangzhou 510655, Guangdong Province, China
  • Received:2019-10-14 Online:2020-07-20 Published:2020-09-10

摘要: 直肠腺癌转移至牙龈非常罕见。本文报道1例81岁女性患者,结肠癌切除2年后出现直肠腺癌,并转移至牙龈。通过组织病理学检查、免疫组织化学染色确诊。口腔转移很少发生,并且通常易被误诊为更常见的良性病变,因此应将其视为鉴别诊断中的一种可能性。完善的临床检查以及多学科诊疗非常必要。

关键词: 直肠腺癌, 转移, 牙龈

Abstract: Rectal adenocarcinoma rarely metastasizes to the gingiva. An unusual case of an 81-year-old woman with gingival metastasis originating from the rectal adenocarcinoma two years after colon carcinoma resection was presented. The diagnosis was confirmed by histopathologic examination and immunohistochemical analysis. Because oral metastases are rare and often mimic much more common benign lesions, they should be considered as a possibility in differential diagnosis. Careful examination with a high degree of clinical suspicion, as well as a multidisciplinary approach is suggested.

Key words: Rectal adenocarcinoma, Metastasis, Gingiva

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