Oral metastasis intraosseous mimicking periapical lesion: a case report
ABSTRACT Jaw metastasis can be mistaken for inflammatory or infectious diseases. Then, they should be considered in the differential diagnosis of unknown jaw lesions. Study reported here involved metastasis of breast cancer in the mandible of a 45-year-old woman. The most important differential diag...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Faculdade São Leopoldo Mandic
2020-03-01
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| Series: | RGO: Revista Gaúcha de Odontologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372020000100800&tlng=en |
| _version_ | 1797792775891058688 |
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| author | José Leonardo Barbosa MELGAÇO-COSTA Bruna Tavares CARNEIRO Flávio Lucena ANTUNES Victoria Vasconcellos Moreira MELO Marcelo Ferreira Pinto CARDOSO Giovanna Ribeiro SOUTO |
| author_facet | José Leonardo Barbosa MELGAÇO-COSTA Bruna Tavares CARNEIRO Flávio Lucena ANTUNES Victoria Vasconcellos Moreira MELO Marcelo Ferreira Pinto CARDOSO Giovanna Ribeiro SOUTO |
| author_sort | José Leonardo Barbosa MELGAÇO-COSTA |
| collection | DOAJ |
| description | ABSTRACT Jaw metastasis can be mistaken for inflammatory or infectious diseases. Then, they should be considered in the differential diagnosis of unknown jaw lesions. Study reported here involved metastasis of breast cancer in the mandible of a 45-year-old woman. The most important differential diagnostic was a reactive lesion in an unusual periapical location associated with a nonvital tooth. However, given patient’s medical history and because paresthesia and pain were observed a few days after pulpectomy, metastasis of breast cancer could not be ruled out. When bone scintigraphy suggested the metastasis of a malignant bone tumor, incisional biopsy was performed. Histopathologic examination and immunohistochemical reaction confirmed the diagnosis of metastasis of breastcancer, and chemotherapy was thus performed as well. Unfortunately, patient died 2 years after diagnosis. Dentists as well as general physicians should therefore consider presence of oral metastasis in cases involving atypical symptoms, especially in patients with known malignant disease. |
| first_indexed | 2024-03-13T02:37:41Z |
| format | Article |
| id | doaj.art-b55e6581cf4b4ac38450d1005cafbada |
| institution | Directory Open Access Journal |
| issn | 1981-8637 |
| language | English |
| last_indexed | 2024-03-13T02:37:41Z |
| publishDate | 2020-03-01 |
| publisher | Faculdade São Leopoldo Mandic |
| record_format | Article |
| series | RGO: Revista Gaúcha de Odontologia |
| spelling | doaj.art-b55e6581cf4b4ac38450d1005cafbada2023-06-28T23:14:16ZengFaculdade São Leopoldo MandicRGO: Revista Gaúcha de Odontologia1981-86372020-03-016810.1590/1981-86372020000022019-0041Oral metastasis intraosseous mimicking periapical lesion: a case reportJosé Leonardo Barbosa MELGAÇO-COSTAhttps://orcid.org/0000-0002-4339-2986Bruna Tavares CARNEIROhttps://orcid.org/0000-0002-0497-0288Flávio Lucena ANTUNEShttps://orcid.org/0000-0003-1031-433XVictoria Vasconcellos Moreira MELOhttps://orcid.org/0000-0002-7756-4002Marcelo Ferreira Pinto CARDOSOhttps://orcid.org/0000-0001-8177-6721Giovanna Ribeiro SOUTOhttps://orcid.org/0000-0003-3617-8794ABSTRACT Jaw metastasis can be mistaken for inflammatory or infectious diseases. Then, they should be considered in the differential diagnosis of unknown jaw lesions. Study reported here involved metastasis of breast cancer in the mandible of a 45-year-old woman. The most important differential diagnostic was a reactive lesion in an unusual periapical location associated with a nonvital tooth. However, given patient’s medical history and because paresthesia and pain were observed a few days after pulpectomy, metastasis of breast cancer could not be ruled out. When bone scintigraphy suggested the metastasis of a malignant bone tumor, incisional biopsy was performed. Histopathologic examination and immunohistochemical reaction confirmed the diagnosis of metastasis of breastcancer, and chemotherapy was thus performed as well. Unfortunately, patient died 2 years after diagnosis. Dentists as well as general physicians should therefore consider presence of oral metastasis in cases involving atypical symptoms, especially in patients with known malignant disease.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372020000100800&tlng=enBreast cancerOral metastasisPeriapical lesion |
| spellingShingle | José Leonardo Barbosa MELGAÇO-COSTA Bruna Tavares CARNEIRO Flávio Lucena ANTUNES Victoria Vasconcellos Moreira MELO Marcelo Ferreira Pinto CARDOSO Giovanna Ribeiro SOUTO Oral metastasis intraosseous mimicking periapical lesion: a case report RGO: Revista Gaúcha de Odontologia Breast cancer Oral metastasis Periapical lesion |
| title | Oral metastasis intraosseous mimicking periapical lesion: a case report |
| title_full | Oral metastasis intraosseous mimicking periapical lesion: a case report |
| title_fullStr | Oral metastasis intraosseous mimicking periapical lesion: a case report |
| title_full_unstemmed | Oral metastasis intraosseous mimicking periapical lesion: a case report |
| title_short | Oral metastasis intraosseous mimicking periapical lesion: a case report |
| title_sort | oral metastasis intraosseous mimicking periapical lesion a case report |
| topic | Breast cancer Oral metastasis Periapical lesion |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372020000100800&tlng=en |
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