上顎骨に転移をきたした膵癌の1例

• Published in: 日本口腔外科学会雑誌 Vol. 66; no. 2; pp. 61 - 66
• Main Authors: 林, 樹, 阿部, 幸二郎, 土井田, 誠, 山下, 知巳
• Format: Journal Article
• Language: Japanese
• Published: 社団法人 日本口腔外科学会 20.02.2020
• Subjects: 免疫組織化学的検索; 歯根囊胞; 膵癌転移
• ISSN: 0021-5163; 2186-1579
• DOI: 10.5794/jjoms.66.61

We report a case of pancreatic carcinoma metastasizing to the maxilla. A 65-year-old man with liver, lung, and bone metastases from pancreatic adenosquamous carcinoma visited our department to undergo intraoral examination. Physical examination revealed a radicular cyst of the upper right second premolar tooth, a combined lesion of marginal and apical periodontitis of the right first premolar tooth, and severe marginal periodontitis of the upper right molar teeth. These teeth were extracted, and the radicular cyst was enucleated with the patient under local anesthesia. Histological and immunohistochemical examinations revealed a metastatic lesion of pancreatic carcinoma in the cyst wall. Although local healing was uneventful, the patient died of the primary lesion about 2 months later.