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An Official Publication of the Indian Association of Oral and Maxillofacial Pathologists

CASE REPORT Table of Contents   
Year : 2011  |  Volume : 15  |  Issue : 2  |  Page : 214-218
Multiple metastatic tumors in the oral cavity

1 Department of Oral and Maxillofacial Pathology, Government Dental College, Trivandrum, India
2 Institute of Dental Sciences, Bhubaneshwar, India

Correspondence Address:
V T Beena
Department of Oral & Maxillofacial Pathology, Government Dental College, Trivandrum, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0973-029X.84508

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Metastatic lesions to the oral region are uncommon and account for approximately 1% of all malignant oral tumors. In 25% of the cases, oral metastases are found to be the first sign of the metastatic spread; and in 23% of the cases, it is the first indication of an undiscovered malignancy at a distant site. Metastases to oral soft tissues are even less frequent than jaw bones. Because of its rarity, the clinical presentation of a metastatic lesion in the oral cavity can be deceiving, leading to a misdiagnosis of a benign process; therefore, in any case where the clinical presentation is unusual, especially in patients with a known malignant disease, a biopsy is mandatory. Here, we are presenting a rare case of multiple secondary tumors in the attached gingiva in an otherwise apparently healthy patient with no other symptoms of the primary tumor. It subsequently led to the diagnosis of Pancoast tumor (bronchoalveolar carcinoma) metastasizing simultaneously to multiple sites in the oral cavity and bilateral adrenal glands.

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