Unpredictable Metastasis in the Head and Neck Region: A Diagnostic Immunohistochemical Challenge

Metastatic disease is a complex and sequential process that involves the migration of tumor cells from the primary site to distant areas. This metastatic pathway is not always predictable. Therefore, this paper presents three rare cases of unusual metastases, due to their primary site: two metastase...

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Bibliographic Details
Main Authors: Raluca-Maria Closca, Adrian Nicoara, Marina Rakitovan, Ion Cristian Mot, Flavia Baderca
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/13/23/3513
Description
Summary:Metastatic disease is a complex and sequential process that involves the migration of tumor cells from the primary site to distant areas. This metastatic pathway is not always predictable. Therefore, this paper presents three rare cases of unusual metastases, due to their primary site: two metastases of a clear cell renal cell carcinoma, one gingival, and one nasal, as well as a mandibular metastasis of a hepatocellular carcinoma. In all cases, an incisional biopsy was performed in order to find out the diagnosis. After microscopical examination of morphological Hematoxylin and Eosin-stained slides, for all cases, immunohistochemical reactions were performed to support the primary tumor site. Two cases had a previous histopathological diagnosis of a primary tumor, while for the third case, the metastatic lesion represented the first manifestation of the neoplastic disease, with an unfavorable prognosis.
ISSN:2075-4418