A challenging palliation via novel therapeutic approach for unusual presenting with gingival metastasis from renal cell carcinoma relapsed eight years after nephrectomy

Year 2018, Volume: 4 Issue: 4, 416 - 420, 04.10.2018

Asım Armağan Aydın , Ahmet Şükrü Alparslan Hülya Ayık , Erkan Kayıkçıoğlu Banu Öztürk

https://doi.org/10.18621/eurj.348318

Cited By: 1

Abstract

Renal cell carcinoma (RCC) is the third most
frequently seen primary source of metastatic lesions of the oral cavity. Still
oral cavity metastasis is a rarely seen clinical manifestation during the
course of RCC. In a patient with a known history of RCC, in the presence of
newly emerged oral and maxillofacial lesion(s), possibility of metastasis
should be always thought of and pathological investigation should be performed
as soon as possible. In RCC, metastatic involvement of oral cavity is generally
accompanied by involvement of other organs with resultant lower chance of cure
and poor prognosis. Especially in conditions which adversely affect functions
of chewing and swallowing consequently nutrition and quality of life, surgery
is contraindicated and local interventional methods transarterial
chemoembolization, microwave ablation and radiofrequency ablation can be good
palliative treatment alternatives. In advanced stages of the diseases with
systemic involvement application of local interventional methods either solely
or in combination with radiotherapy and surgery increases compliance to the
systemic treatment and can contribute markedly to the prolongation of survival.
Herein we aimed to present a case with unusual histopathological
characteristics and presentation in whom we achieved a longer period of
disease-free survival using a different local treatment method. 

Keywords

renal cell carcinoma, gingiva, metastasis, transarterial chemoembolization, microwave ablation

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