Metastatic colon carcinoma in the maxilla: Highlighting the importance of perioperative oral management: A case report

Makoto,Murahashi; Ntege,Edward Hosea; Kazuhide,Nishihara; Kentaro,Ide; Jumpei,Shirakawa; Nobuyuki,Maruyama; Toshihiro,Kawano; Yusuke,Shimizu; Hiroyuki,Nakamura

doi:10.3892/mco.2023.2679

Metastatic colon carcinoma in the maxilla: Highlighting the importance of perioperative oral management: A case report

Authors:
- Murahashi Makoto
- Edward Hosea Ntege
- Nishihara Kazuhide
- Ide Kentaro
- Shirakawa Jumpei
- Maruyama Nobuyuki
- Kawano Toshihiro
- Shimizu Yusuke
- Nakamura Hiroyuki
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Affiliations: Department of Oral and Maxillofacial Surgery, Urasoe General Hospital, Urasoe, Okinawa 901‑2132, Japan, Department of Oral and Maxillofacial Functional Rehabilitation, Graduate School of Medicine, University of the Ryukyus, Nakagami, Nishihara, Okinawa 903‑0215, Japan, Department of Oral and Maxillofacial Surgery, Okinawa Red Cross Hospital, Naha, Okinawa 902‑8588, Japan, Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of the Ryukyus, Nakagami, Nishihara, Okinawa 903‑0215, Japan
Published online on: September 1, 2023 https://doi.org/10.3892/mco.2023.2679
Article Number: 83
Copyright: © Makoto et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Metastatic colorectal carcinoma involving the maxilla is a rare phenomenon, and existing literature regarding the significance of perioperative oral function management (POM) in managing such cases is limited. In the present case report the clinical details of a 58‑year‑old male referred to the oral and maxillofacial department for POM. The patient had previously undergone segmental bowel resection due to stage IIIb colon cancer. A comprehensive approach encompassing a thorough medical history, meticulous physical examination, radiographic imaging and immunohistopathology was employed, and a definitive diagnosis of metastatic adenocarcinoma in the left maxillary gingiva originating from a colorectal carcinoma was reached. Additionally, concomitant metastases were detected in the lungs and liver. Despite the daunting prognosis associated with the metastases in the oral cavity, the patient's quality of life exhibited discernible improvements owing to the implementation of palliative care interventions. Notably, this interdisciplinary approach facilitated the patient's survival for over a year. The present case report strongly advocates for the prompt integration of POM in the surgical management of cancer patients with oral manifestations, which can optimize both the quality of life and overall survival.

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