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A rare case of gingival metastases from papillary thyroid carcinoma.

Siddique I, Chengot P, Frewer J, Walker D - Int J Surg Case Rep (2014)

Bottom Line: Sarcomatoid transformation in PTC has not been previously described and indicates a poor prognosis and the need for planning urgent palliation.These lesions can present a diagnostic challenge to both pathologists and clinicians in identifying the lesion as metastatic and locating the primary cancer.This case demonstrates the need for vigilance amongst health professionals when presented with an oral soft tissue mass in patients with a known primary malignancy.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, Surgery, Queen's Medical Centre, Derby Road, Nottingham, NG7 2UH, UK. Electronic address: ibrazsiddique@doctors.org.uk.

No MeSH data available.


Related in: MedlinePlus

Gingival Metastasis.
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fig0010: Gingival Metastasis.

Mentions: The tumour was 55 mm in maximum diameter involving the left thyroid lobe and isthmus. The right lobe was clear. Further tracheal shavings also confirmed papillary carcinoma. In total 53 nodes were removed and 12 of these were involved with tumour. There was also a soft tissue deposit at level III. The original presenting left supraclavicular node was 35 mm in diameter. The staging was pT4a pN1b. The patient underwent adjuvant radioactive iodine treatment with curative intent and initially made an uncomplicated recovery. Eight weeks after completion of treatment he attended his GMP to draw attention to a rapidly growing asymptomatic labial gingival swelling adjacent to his lower right lateral incisor (Fig. 2).


A rare case of gingival metastases from papillary thyroid carcinoma.

Siddique I, Chengot P, Frewer J, Walker D - Int J Surg Case Rep (2014)

Gingival Metastasis.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4336387&req=5

fig0010: Gingival Metastasis.
Mentions: The tumour was 55 mm in maximum diameter involving the left thyroid lobe and isthmus. The right lobe was clear. Further tracheal shavings also confirmed papillary carcinoma. In total 53 nodes were removed and 12 of these were involved with tumour. There was also a soft tissue deposit at level III. The original presenting left supraclavicular node was 35 mm in diameter. The staging was pT4a pN1b. The patient underwent adjuvant radioactive iodine treatment with curative intent and initially made an uncomplicated recovery. Eight weeks after completion of treatment he attended his GMP to draw attention to a rapidly growing asymptomatic labial gingival swelling adjacent to his lower right lateral incisor (Fig. 2).

Bottom Line: Sarcomatoid transformation in PTC has not been previously described and indicates a poor prognosis and the need for planning urgent palliation.These lesions can present a diagnostic challenge to both pathologists and clinicians in identifying the lesion as metastatic and locating the primary cancer.This case demonstrates the need for vigilance amongst health professionals when presented with an oral soft tissue mass in patients with a known primary malignancy.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, Surgery, Queen's Medical Centre, Derby Road, Nottingham, NG7 2UH, UK. Electronic address: ibrazsiddique@doctors.org.uk.

No MeSH data available.


Related in: MedlinePlus