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Case Report
Metastatic rectal adenocarcinoma in the maxillary bone: A case report
1 Department of General Surgery, Funchal Central Hospital, SESARAM, EPE, Avenida Luís de Camões n. 57, Funchal, Portugal
2 Department of Anatomic Pathology, Funchal Central Hospital, SESARAM, EPE, Avenida Luís de Camões n. 57, Funchal, Portugal
Address correspondence to:
Florentina Menezes
MD, Department of General Surgery, Funchal Central Hospital, SESARAM, EPE, Avenida LuÃs de Camões n. 57, 9004-514 Funchal,
Portugal
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Article ID: 100069Z06FM2019
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Menezes F, Fernandes D, Sousa MO, Capelinha AF, Reis M, Gouveia RL. Metastatic rectal adenocarcinoma in the maxillary bone: A case report. Case Rep Int 2019;8:100069Z06FM2019.ABSTRACT
Introduction: Colorectal cancer patients presenting with isolated bone metastases are exceedingly rare.
Case Report: A 72-year-old male patient appeared with a painless gross swelling in the anterior maxillary gingiva, nearly a year after anterior rectal resection for cancer. The patient was submitted to lesion excision and nasolabial flap reconstruction. Histology revealed an intestinal type adenocarcinoma. The patient underwent radiotherapy. The disease spread and our patient lost his battle with cancer.
Conclusion: Rectal tumor metastasis to maxillary bone is exceedingly rare and a high index of suspicion must be maintained in order to timely diagnose and treat it. Intraoral reconstruction with a nasolabial flap is a simple and fast procedure with good cosmetic and functional results.
Keywords: Chemotherapy, Metastasis, Oral cavity, Radiotherapy, Rectal cancer
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Acknowledgments
We are thankful to Fernando Jasmins, Hospital Dr. Nélio Mendonça, Head of General Surgery Department, Funchal, Madeira, Portugal for his help and support in preparing the manuscript.
Author ContributionsFlorentina Menezes - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Diana Fernandes - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Maria Olim Sousa - Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Ana Filipa Capelinha - Acquisition of data, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Miguel Reis - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Rubina Lara Gouveia - Substantial contributions to conception and design, Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2019 Florentina Menezes et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
