A Case of Hepatocellular Carcinoma Presenting as a Gingival Mass.
10.4166/kjg.2016.68.6.321
- Author:
Min Jung KWON
1
;
Soo Hyung RYU
;
Soo Yeon JO
;
Chul Hoon KWAK
;
Won Jae YOON
;
Jeong Seop MOON
;
Hye Kyung LEE
Author Information
1. Department of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea. rshdrryu@hanmail.net
- Publication Type:Case Report
- Keywords:
Hepatocellular carcinoma;
Neoplasm metastasis;
Gingiva;
Mouth
- MeSH:
Alcoholics;
Alveolar Process;
Ascites;
Biopsy;
Carcinoma, Hepatocellular*;
Gingiva;
Head;
Hemorrhage;
Hepatitis B virus;
Humans;
Liver;
Liver Cirrhosis;
Middle Aged;
Mouth;
Mouth Neoplasms;
Neck;
Neoplasm Metastasis;
Palate, Hard;
Tomography, X-Ray Computed;
Weight Loss
- From:The Korean Journal of Gastroenterology
2016;68(6):321-325
- CountryRepublic of Korea
- Language:English
-
Abstract:
Oral metastatic tumor, which is uncommon and represents less than 1% of malignant oral neoplasms, usually arises from a primary mucosal or cutaneous cancer located in the head and neck regions. Metastasis of hepatocellular carcinoma (HCC) to the oral cavity, especially to gingiva, is extremely rare. A 50-year-old man, who was a chronic alcoholic and hepatitis B virus carrier, presented with abdominal distension and weight loss for the past 3 months. Three-phased contrast-enhanced abdominal CT revealed numerous conglomerated masses in the liver, suggesting huge HCCs arising in the background of liver cirrhosis with a large amount of ascites. He complained of recurrent profuse bleeding from the left upper gingival mass. A facial CT revealed an oral cavity mass destructing the left maxillary alveolar process and hard palate, which was diagnosed as metastatic HCC by an incisional biopsy. Herein, we report a case of metastatic HCC to the gingiva.
