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Gewählte Publikation:

Peris, K; Cerroni, L; Paoloni, M; Margiotta, V; Chimenti, S.
Gingival metastasis as first sign of an undifferentiated carcinoma of the lung.
J Dermatol Surg Oncol. 1994; 20(6):407-409 Doi: 10.1111/j.1524-4725.1994.tb02626.x (- Case Report)
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Co-Autor*innen der Med Uni Graz
Cerroni Lorenzo
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Abstract:
BACKGROUND. Metastases of internal tumors to the oral cavity are unusual and involve in most cases maxilla and mandible. Metastases to the gingival soft tissue are extremely rare. OBJECTIVE. To report a case of gingival metastasis from undifferentiated carcinoma of the lung. METHODS. The lesion was removed and hematoxylin and eosin sections were performed. Immunohistochemical investigations were performed with a standard three-step immunoperoxidase technique on formalin-fixed, paraffin-embedded tissue sections using anti-CEA, anti-S-100, HMB45, and anti-LCA antibodies. RESULTS. Based on clinicopathologic findings, a diagnosis of metastasis from undifferentiated carcinoma of the lung was established. Further investigations revealed a primary undifferentiated carcinoma of the lung. CONCLUSION. Metastasis from internal neoplasms should be considered among other differential diagnoses in the evaluation of gingival tumors. In the present case, onset of oral lesion preceded detection of the primary lung tumor. Complete screening of the patient should therefore follow a diagnosis of gingival neoplasm of unknown origin.
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Antigens, CD45 - analysis
Carcinoembryonic Antigen - analysis
Carcinoma - pathology
Cell Nucleus - ultrastructure
Cytoplasm - ultrastructure
Gingival Neoplasms - pathology
Humans - pathology
Keratins - analysis
Lung Neoplasms - pathology
Male - pathology
S100 Proteins - analysis

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