Clear Cell Renal Cell Carcinoma Metastatic to the Mandible: a Unique Case Report and Literature Review.

Xiao Fei Huang, Zi Li Yu
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Abstract

Renal cell carcinoma (RCC) is often diagnosed in advanced stages and a third of patients have distant metastasis at diagnosis. Metastasis may be the first evidence of clear cell RCC in many cases. RCC most often metastasises to the lung, liver, bone, brain and thyroid; however, metastatic disease to the oral cavity, especially the mandible, is rare. The purpose of this study is to report a case of clear cell RCC metastatic to the mandible and review the literature. The mandible lesion underwent radical excision in this case. Notably, no metastatic lesions were detected in the lungs and liver in this patient until 15 months after the mandibulectomy. The patient lived for around 2.5 years after the diagnosis of RCC.

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转移至下颌骨的透明细胞肾细胞癌:一份独特的病例报告和文献综述。
肾细胞癌(RCC)通常被诊断为晚期,三分之一的患者在确诊时已有远处转移。在许多病例中,转移可能是透明细胞 RCC 的第一个证据。RCC 最常转移到肺、肝、骨、脑和甲状腺,但转移到口腔(尤其是下颌骨)的情况很少见。本研究旨在报告一例转移至下颌骨的透明细胞 RCC 病例,并回顾相关文献。该病例的下颌骨病变接受了根治性切除术。值得注意的是,直到下颌骨切除术后15个月,该患者的肺部和肝脏均未发现转移病灶。患者在确诊为 RCC 后生存了约 2.5 年。
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