上颌骨转移性结肠癌:强调围手术期口腔管理的重要性:一例报告。

IF 1.4 Q4 ONCOLOGY Molecular and clinical oncology Pub Date : 2023-09-01 eCollection Date: 2023-10-01 DOI:10.3892/mco.2023.2679
Murahashi Makoto, Edward Hosea Ntege, Nishihara Kazuhide, Ide Kentaro, Shirakawa Jumpei, Maruyama Nobuyuki, Kawano Toshihiro, Shimizu Yusuke, Nakamura Hiroyuki
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引用次数: 0

摘要

累及上颌骨的转移性结直肠癌是一种罕见的现象,关于围手术期口腔功能管理(POM)在处理此类病例中的意义的现有文献有限。在本病例中,报告了一名58岁男性因POM转诊至口腔颌面部的临床细节。该患者曾因癌症IIIb期结肠癌接受节段性肠切除术。采用了一种全面的方法,包括彻底的病史、细致的身体检查、放射学成像和免疫组织病理学,并最终诊断为源自结直肠癌的左上颌牙龈转移性腺癌。此外,在肺和肝中还发现了伴随的转移。尽管口腔转移的预后令人生畏,但由于实施了姑息治疗干预措施,患者的生活质量明显改善。值得注意的是,这种跨学科的方法促进了患者一年多的生存。本病例报告强烈主张在有口腔表现的癌症患者的手术管理中迅速整合POM,这可以优化生活质量和总体生存率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Metastatic colon carcinoma in the maxilla: Highlighting the importance of perioperative oral management: A case report.

Metastatic colorectal carcinoma involving the maxilla is a rare phenomenon, and existing literature regarding the significance of perioperative oral function management (POM) in managing such cases is limited. In the present case report the clinical details of a 58-year-old male referred to the oral and maxillofacial department for POM. The patient had previously undergone segmental bowel resection due to stage IIIb colon cancer. A comprehensive approach encompassing a thorough medical history, meticulous physical examination, radiographic imaging and immunohistopathology was employed, and a definitive diagnosis of metastatic adenocarcinoma in the left maxillary gingiva originating from a colorectal carcinoma was reached. Additionally, concomitant metastases were detected in the lungs and liver. Despite the daunting prognosis associated with the metastases in the oral cavity, the patient's quality of life exhibited discernible improvements owing to the implementation of palliative care interventions. Notably, this interdisciplinary approach facilitated the patient's survival for over a year. The present case report strongly advocates for the prompt integration of POM in the surgical management of cancer patients with oral manifestations, which can optimize both the quality of life and overall survival.

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