AI Article Synopsis

  • A rare case of metastatic Oral Squamous Cell Carcinoma (OSCC) was reported, where the cancer spread from the floor of the mouth to the patient's left upper arm, marking it as the first documented instance of this type.
  • After initial treatment, the patient experienced rapid tumor growth in the arm, which was initially misdiagnosed as an abscess; imaging could not clear up the nature of the growth.
  • A biopsy confirmed it was indeed a metastasis of OSCC, leading to recommendations for radiation therapy and suggesting closer monitoring for patients with regional lymph node metastases to catch distant ones early.

Article Abstract

Background: 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.

Case Presentation: 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.

Conclusion: 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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4348170PMC
http://dx.doi.org/10.1186/s12903-015-0007-9DOI Listing

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