Open AccessGingival exophytic lesions as first oral manifestation of primary lung adenocarcinomas: Systematic review
Author(s) -
Sergio Piñeiro Donís,
Abel Garcı́a Garcı́a,
Pilar Gándara Vila,
Andrés Blanco Carrión,
Pía López Jornet,
José Manuel Suárez Peñaranda,
Mario Pérez Sayáns
Publication year - 2021
Publication title -
national journal of maxillofacial surgery
Language(s) - English
Resource type - Journals
eISSN - 2229-3418
pISSN - 0975-5950
DOI - 10.4103/njms.njms_120_20
Subject(s) - medicine , metastasis , lung , adenocarcinoma , oral cavity , lesion , presentation (obstetrics) , pathology , soft tissue , radiology , cancer , dentistry
Metastases from malignant tumors in the oral cavity are rare and comprise approximately 1% of all oral neoplasms, being more frequent in the jaws than in the soft tissues. The presentation of a gingival metastasis as the first manifestation of a primary tumor in the oral cavity is extremely rare. The objective of this review is to update the diagnosis and management of oral metastasis being the first clinical manifestation of the tumor and review all the cases published to date, providing a new original clinical case with very specific histopathological characteristics. We systematically reviewed the literature in order to find all the cases of primary lung tumors that appeared with a gingival metastasis as the first manifestation. The search process involved a total of 1916 articles. After reading the latter, 15 (one of them with two different cases) met the inclusion criteria. Of the 15 articles, 6 were rated as medium quality (40%) and 9 as high quality (60%). We present a lung adenocarcinoma that first manifested as a metastasis in the gum, simulating a benign lesion. The unusually high growth rate of this lesion should conduct to have other diagnostic possibilities, and histopathological confirmation is essential.