dc.contributor.author
Steffen, Claudius
dc.contributor.author
Doll, Christian
dc.contributor.author
Thieme, Nadine
dc.contributor.author
Waluga, Richard
dc.contributor.author
Beck-Broichsitter, Benedicta
dc.date.accessioned
2020-11-11T16:37:52Z
dc.date.available
2020-11-11T16:37:52Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/28841
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-28590
dc.description.abstract
Introduction: Oral metastatic tumors due to malignancies at distant locations are very rare. There are only few cases in the literature reporting about mandible/cervical metastases. Sometimes the oral finding is the manifestation of the disease.
Presentation of case: We report on a 50-year-old patient who was diagnosed with a pathological mandibular fracture and cervical lymph node metastases due to an adenocarcinoma of the lung without other peripheral metastases. Following the interdisciplinary tumor board decision, resection and ipsilateral neck dissection including a mandible reconstruction using a microvascular fibula transplant was performed. The patient received an adjuvant chemotherapy with carboplatin/pemetrexed.
Discussion: The combination of cervical metastases and a pathological mandibular fracture has not been reported before. Distinction between oligometastatic and polymetastatic disease may be difficult. Bone lesions and a high number of metastases are associated with a negative outcome. In cases of limited oligometastatic diseases, metastasectomy might sometimes be indicated. Due to the absence of other peripheral metastases decision of metastasectomy was made.
Conclusion: Due to rare occurrence of cervical metastases special attention should be paid to the incidence of possible metastases of distant malignancies at uncommon regions.
en
dc.rights.uri
https://creativecommons.org/licenses/by/4.0/
dc.subject
Cervical metastasis
en
dc.subject
Pathological mandibular fracture
en
dc.subject
Mandible reconstruction
en
dc.subject
Fibula transplant
en
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
Presentation of cervical metastases and pathological mandibular fracture due to pulmonal adenocarcinoma: A case report
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.doi
10.1016/j.ijscr.2020.04.044
dcterms.bibliographicCitation.journaltitle
International Journal of Surgery Case Reports
dcterms.bibliographicCitation.originalpublishername
Elsevier
dcterms.bibliographicCitation.pagestart
53
dcterms.bibliographicCitation.pageend
55
dcterms.bibliographicCitation.volume
70
refubium.affiliation
Charité - Universitätsmedizin Berlin
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.bibliographicCitation.pmid
32416486
dcterms.isPartOf.eissn
2210-2612