上顎歯肉に転移した大腸癌の1例 A case of carcinoma of the sigmoid colon metastatizing to the maxillary gingiva

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著者

    • 小泉 浩一 KOIZUMI Koichi
    • 広島大学大学院医歯薬学総合研究科・先進医療開発科学講座・分子口腔顎顔面外科学 Department of Molecular Oral Medicine and Maxillofacial Surgery, Division of Frontier Medical Science, Graduate School of Biomedical Sciences, Hiroshima University
    • 林堂 安貴 HAYASHIDO Yasutaka
    • 広島大学大学院医歯薬学総合研究科・先進医療開発科学講座・分子口腔顎顔面外科学 Department of Molecular Oral Medicine and Maxillofacial Surgery, Division of Frontier Medical Science, Graduate School of Biomedical Sciences, Hiroshima University
    • 吉岡 幸男 YOSHIOKA Yukio
    • 広島大学大学院医歯薬学総合研究科・先進医療開発科学講座・分子口腔顎顔面外科学 Department of Molecular Oral Medicine and Maxillofacial Surgery, Division of Frontier Medical Science, Graduate School of Biomedical Sciences, Hiroshima University
    • 原 潤一 HARA Jun-ichi
    • JA尾道総合病院歯科口腔外科 Department of Dentistry and Oral Surgery, JA Onomichi General Hospital
    • 岡本 哲治 OKAMOTO Tetsuji
    • 広島大学大学院医歯薬学総合研究科・先進医療開発科学講座・分子口腔顎顔面外科学 Department of Molecular Oral Medicine and Maxillofacial Surgery, Division of Frontier Medical Science, Graduate School of Biomedical Sciences, Hiroshima University

抄録

Metastatic tumors of the oral region are rare, representing about 1 % of malignant tumors in the oral cavity. In this article, we report a case of carcinoma of the sigmoid colon that metastasized to the maxillary gingiva and review of literature. A 69-year-old man underwent extraction of the right first and second molars of the maxilla, and a rapidly proliferating lesion developed at the site. The patient had previously undergone surgical excision of adenocarcinoma of the sigmoid colon. Histological examination of the oral lesion revealed adenocarcinoma similar to the previous lesion in the colon. Moreover, the serum levels of carcinoembryonic antigen (CEA) and carbohydrate antigen (CA) 19-9 were elevated. These findings suggested that the oral lesion was a metastatic adenocarcinoma from the sigmoid colon. Although computerized tomographic scans showed metastatic lesions of the liver and lung, the gingival tumor was excised to improve dysphagia induced by the rapidly growing tumor. He died of respiratory arrest 4 months after surgery.

収録刊行物

  • 日本口腔外科学会雑誌

    日本口腔外科学会雑誌 50(6), 396-399, 2004-06-20

    Japanese Society of Oral and Maxillofacial Surgeons

参考文献:  23件中 1-23件 を表示

被引用文献:  6件中 1-6件 を表示

各種コード

  • NII論文ID(NAID)
    10018619864
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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