A case of small cell carcinoma of the lung associated with swelling of the facial region as the initial symptom

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  • SUZUKI Koichiro
    Division of Oral and Maxillofacial Reconstructive Surgery, Department of Oral and Maxillofacial Surgery, Kyusyu Dental College
  • TAKAHASHI Tetsu
    Division of Oral and Maxillofacial Reconstructive Surgery, Department of Oral and Maxillofacial Surgery, Kyusyu Dental College
  • SERA Hitoshi
    Department of Oral Surgery Health Insurance Amakusa Chuo General Hospital

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Other Title
  • 顔面腫脹を初発症状とした肺小細胞癌の１例
  • ショウレイ ホウコク ガンメン シュチョウ オ ショハツ ショウジョウ ト シタ ハイ ショウサイボウガン ノ 1レイ

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Abstract

We describe a case of small cell carcinoma of the lung with superior vena cava syndrome as the initial sign. The patient was a 62-year-old man who was referred to our department for swelling of the facial region and dull pain of the masseter muscles. The cause of these symptoms was not odontogenic infection or temporomandibular disorders. Chest radiography revealed a large mass in the mediastinum. The mass was diagnosed as small cell carcinoma of the lung on CT scanning and cytological examination. At the completion of combined radiochemotherapy, carcinoma of the lung showed a complete response, and swelling of the facial region and dull pain of the masseter muscles disappeared. As of 30 months after radiochemotherapy, there has been no evidence of recurrence or metastasis.

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