J Korean Assoc Maxillofac Plast Reconstr Surg.
2002 Sep;24(5):418-424.
Small Cell Carcinoma Metastasized To The Mandible: A Case Report
- Affiliations
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- 1Department of Oral and Maxillofacial Surgery, School of Medicine, Keimyung University, Korea. jbkim@dsmc.or.kr
Abstract
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The small cell carcinoma has the most aggressive clinical course of any type of pulmonary tumor with median survival from diagnosis of only 2 to 4 months, and is a very rare in oral cancer. Because of the high malignant potency, small cell carcinoma has a greater tendency to be widely disseminated by the time of diagnosis and chemotherapy for the primary therapy is accepted generally. However, distant metastasis to mandible is very rare and only 5 cases had been reported according to the literature review We experienced a case of small cell carcinoma metastasized to mandible ramus and condyle. The patient was 67 year-old male with multiple lymph node metastasis and managed with chemotherapy, who was died of tumor 2 months after the initial diagnosis If we regarded the mandibular tumor as a primary carcinoma, there was a possibility to operate uncurable tumor. This case implies the necessity of thorough general evaluation of the patient before the malignant tumor surgery in maxillofacial area