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Journal of Case Reports
Maxillary Gingival Metastasis from Adenocarcinoma Colon
Lekha M Nair1, Anitha Mathews2, Aparna MP1, Sajeed A1
Departments of 1Radiation Oncology and 2Pathology, Regional Cancer Centre, Trivandrum, Kerala, India.
Corresponding Author:
Dr Lekha M Nair
Email: lekhamnair28@gmail.com
Received: 11-OCT-2020 Accepted: 10-MAR-2021 Published Online: 10-JUN-2021
DOI: http://dx.doi.org/10.17659/01.2021.0032
Abstract
Background: Oral cavity metastasis from colorectal cancers is rare. Among these gingival metastases are extremely rare. Few cases of metastasis to mandibular gingiva have been reported. Here we report a rare case of maxillary gingival metastasis from adenocarcinoma colon. Case Report: A fifty-year-old gentleman underwent emergency laparotomy and sigmoid resection for obstructive growth in sigmoid colon and was diagnosed as adenocarcinoma colon, pT4N1. He received twelve cycles of adjuvant chemotherapy. After a disease-free interval of four years, he developed multiple visceral metastases along with an ulcero-proliferative lesion in maxillary gingiva, biopsy from which was reported as adenocarcinoma metastasis from carcinoma colon. He received palliative radiotherapy to the gingival lesion and is on systemic chemotherapy for disseminated disease. Conclusion: Gingiva being a rare metastatic site, a biopsy is warranted to differentiate it from second primary malignancies of oral cavity.                . 
Keywords : Adenocarcinoma, Biopsy, Gingiva, Neoplasms, Sigmoid Colon.
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