Case report: upper arm metastasis of an oral squamous cell carcinoma

Wurm M, Nkenke E, Neukam FW, Moest T, Lutz R, Wehrhan F, Brunner K, Mitsimponas K, Schlechtweg P, von Wilmowsky C (2015)

Publication Type: Journal article

Publication year: 2015

Journal

BMC Oral Health BioMed Central

Book Volume: 15

Pages Range: 22

Journal Issue: 1

DOI: 10.1186/s12903-015-0007-9

Abstract

The Oral Squamous Cell Carcinoma (OSCC) frequently metastasizes lymphogenously. Haematogenous dissemination is less common. This report describes a rare case of a metastatic OSCC of the floor of the mouth to the patients' left upper arm. To our knowledge this is the first of such case described in the literature.Twelve months after R0 tumor resection surgery, including microvascular reconstruction of the lower jaw followed by adjuvant radiotherapy, the patient was admitted for osteosynthesis plates removal. During clinical examination a tumor located at his left upper arm was detected. According to the patient the tumor has demonstrated rapid growth. Macroscopic appearance and conventional imaging led to the differential diagnosis of an abscess. MR-imaging could not differentiate between a tumor of soft tissue origin and a metastasis. A biopsy was taken and the pathological examination confirmed the diagnosis of an OSCC metastasis. The postoperative interdisciplinary tumor board recommended radiation therapy.Due to the fact that patients with regional lymph node metastases have a higher probability to develop distant metastasis a more detailed screening might be considered - especially when hemangiosis carcinomatosa was histologically or macroscopically found.

Authors with CRIS profile

Matthias Wurm Department of Oral and Cranio-Maxillofacial Surgery Friedrich Wilhelm Neukam Lehrstuhl für Zahnmedizin, insbesondere Mund-, Kiefer-, und Gesichtschirurgie Rainer Lutz Department of Oral and Cranio-Maxillofacial Surgery Falk Wehrhan Department of Oral and Cranio-Maxillofacial Surgery Konstantinos Mitsimponas Medizinische Fakultät Philipp Schlechtweg Institute of Radiology Cornelius von Wilmowsky Department of Oral and Cranio-Maxillofacial Surgery

Involved external institutions

Martin-Luther-Universität Halle-Wittenberg (MLU) DE Germany (DE)

How to cite

APA:

Wurm, M., Nkenke, E., Neukam, F.W., Moest, T., Lutz, R., Wehrhan, F.,... von Wilmowsky, C. (2015). Case report: upper arm metastasis of an oral squamous cell carcinoma. BMC Oral Health, 15(1), 22. https://dx.doi.org/10.1186/s12903-015-0007-9

MLA:

Wurm, Matthias, et al. "Case report: upper arm metastasis of an oral squamous cell carcinoma." BMC Oral Health 15.1 (2015): 22.

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