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

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Autorinnen und Autoren: Wurm M, Nkenke E, Neukam FW, Moest T, Lutz R, Wehrhan F, Brunner K, Mitsimponas K, Schlechtweg P, von Wilmowsky C
Zeitschrift: BMC Oral Health
Jahr der Veröffentlichung: 2015
Band: 15
Heftnummer: 1
Seitenbereich: 22
ISSN: 1472-6831


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.

FAU-Autorinnen und Autoren / FAU-Herausgeberinnen und Herausgeber

Lutz, Rainer PD Dr.
Schlechtweg, Philipp PD Dr.
Mund-, Kiefer- und Gesichtschirurgische Klinik
Radiologisches Institut
Mitsimponas, Konstantinos
von Wilmowsky, Cornelius PD Dr.
Medizinische Fakultät
Mund-, Kiefer- und Gesichtschirurgische Klinik
Neukam, Friedrich Wilhelm Prof. Dr. Dr.
Wehrhan, Falk PD Dr.
Lehrstuhl für Zahnmedizin, insbesondere Mund-, Kiefer-, und Gesichtschirurgie
Mund-, Kiefer- und Gesichtschirurgische Klinik
Wurm, Matthias Dr.
Mund-, Kiefer- und Gesichtschirurgische Klinik

Einrichtungen weiterer Autorinnen und Autoren

Martin-Luther-Universität Halle-Wittenberg (MLU)


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.

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


Zuletzt aktualisiert 2019-25-02 um 07:08

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