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Bronchogenic carcinoma presenting as a periapical infection
S V Seddon1, E G Absi, J P Shepherd
1Department of Oral Surgery and Pathology, United Medical School, Guy's Hospital, London.
British Dental Journal
|June 19, 1993
Summary
A rare case of lung cancer metastasis to the lower lip mimicked a dental infection. This metastatic bronchogenic deposit spread from the lower lip into the jawbone, highlighting unusual cancer spread patterns.
Area of Science:
- Oral oncology
- Pulmonary medicine
- Dental pathology
Background:
- Metastatic disease to the oral cavity is uncommon.
- Bronchogenic carcinoma is a type of lung cancer.
- Dentoalveolar infections can present with localized pain and swelling.
Observation:
- A patient presented with symptoms mimicking a lower incisor dentoalveolar infection.
- Lower incisor extraction provided no symptom relief.
- Radiographic comparison revealed a metastatic deposit in the lower lip and adjacent bone.
Findings:
- The metastatic deposit involved the lower lip and the bone surrounding the lower incisors.
- Evidence suggested spread from the lower labial sulcus to a periapical infection site.
- The metastasis likely originated from a primary bronchogenic tumor.
Implications:
- This case highlights the importance of considering metastatic disease in persistent oral lesions.
- Unusual presentations of lung cancer metastasis can mimic common dental pathologies.
- Early recognition of oral metastases is crucial for timely diagnosis and treatment planning.