METASTATIC FIBROSARCOMA IN ORAL CAVITY: CASE REPORT

A 42-year-old female patient reported diffuse toothache associated with difficulty chewing and a lesion in the oral cavity for approximately 3 months. The patient's medical history showed a diagnosis of mediastinal sarcoma and she was undergoing chemotherapy. Extraoral examination showed no cha...

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Published inOral surgery, oral medicine, oral pathology and oral radiology Vol. 134; no. 3; p. e163
Main Authors Da Silva Mello, Estthelamares Lúcio, Feitosa, Maria Fernanda Limeira, Filho, Marcos Antonio Pachêco Silva, Pena, Nayara Gabriela Silva, Barros, Ana Maria Ipólito, De Albuquerque, Raylane Farias, Silva, Igor Henrique Morais
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.09.2022
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Summary:A 42-year-old female patient reported diffuse toothache associated with difficulty chewing and a lesion in the oral cavity for approximately 3 months. The patient's medical history showed a diagnosis of mediastinal sarcoma and she was undergoing chemotherapy. Extraoral examination showed no changes. In the oral cavity, a nodular lesion with an ulcerated surface in the right retromolar triangle associated with the occlusion trauma promoted by element 18 was observed. Panoramic radiography showed a radiolucent lesion of imprecise limits without promoting root resorption in adjacent teeth. Bone scintigraphy revealed a blastomatous lesion in the mandible and oral cavity, suggesting bone metastasis. Incisional biopsy was performed, and histological sections stained in hematoxylin and eosin showed low-grade ulcerated fusocellular sarcoma, consistent with fibrosarcoma. The patient followed chemotherapy with doxorubicin and dacarbazine but died from treatment complications.
ISSN:2212-4403
2212-4411
DOI:10.1016/j.oooo.2022.01.441