乳腺癌复发牙龈转移的探讨

Research on the Metastasis of Breast Carcinoma Recurrence to Gingiva

本文报道1例乳腺癌复发转移牙龈的诊断,提示乳腺癌的转移通常为区域淋巴结转移,也可经血液远处转移,最常见的远处转移部位为肺、肝、骨等,转移至牙龈的则十分罕见,牙龈上的转移癌早期表现与牙龈瘤极为相似,容易误诊。详细地询问病史极为重要,穿刺细胞学检查有助于明确诊断,必要时可以在术中冰冻活检,明确诊断后按一般恶性肿瘤的治疗原则手术治疗。

In this article, it is reported that one case of breast carcinoma metastasized to gingiva, which indicates that breast carcinoma usually metastasizes through blood over long distance as well as lymph node. The most usual metastasis parts are lung, fiver and bones, whereas metastasis to gingiva is rarely found. The early symptoms of gingival metastasis carcinoma are extremely identical to that of gingival tumor, which is apt to lead to misdiagnosis. Therefore, questioning the case history is extremely important. Puncture cytology could contribute to a definitive diagnosis as well, and then operations could be practiced according to general tumor treatment principles. During the operation, one tissue could be treated with frozen biopsy when required.