#ClinicalCase: Gingival metastasis of a breast carcinoma
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This is a case of 43?year?old female patient who presented 2 years ago with ductal carcinoma of the right breast. Surgical exeresis (mastectomy + axillary lymph node dissection) had been preceded by neoadjuvant chemotherapy. The histological type was an infiltrating ductal carcinoma classified as SBR II (2+3+1) without vascular emboli or perineural invasion. Surgical resection margins were tumor?free. Postoperative radiotherapy was not considered necessary. Seven months after treatment of breast cancer, the patient had painless, nonhemorrhagic gingival swelling.

On examination, there was a rounded, nonbleeding mass of lower left gingival seat near tooth 33. The mass was 1 cm long, and the mucosa covering it was normal in appearance. A biopsy of the gingival lesion had been performed, and the histological results indicated metastasis of an infiltrating ductal carcinoma. The lesion was excised with the underlying mandibular segment and teeth 31, 32, and 33. Treatment in addition to surgery was adjuvant chemotherapy. No tumor markers for breast cancer had been investigated. No secondary locations were detected on whole?body CT. After 1 year of follow?up, the patient had no recurrence or other metastases.

Source: https://onlinelibrary.wiley.com/doi/full/10.1002/ccr3.3216?af=R
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