Resumen

LIUZZI, Juan; RINCON, Nilyán; VELAZQUEZ, Yasmín  y  LEANEZ, Luis. Tumor de cavidad oral como primera manifestación de un adenocarcinoma gástrico metastásico. Rev. venez. oncol. [online]. 2009, vol.21, n.3, pp.157-164. ISSN 0798-0582.

SUMMARY The oral cavity is a rare but occasional target for metastases lesions. Oral metastatic lesions have been principal described in lung, breast and kidney carcinomas. In our work we describe an uncommon case of gingival mucosa metastases from a gastric carcinoma without other symptoms that was diagnosed and treated as a minor salivary gland adenocarcinoma. Histopathological examination of the lesion revealed a poor differentiated cell adenocarcinoma. A subsequent upper endoscopy revealed a gastric tumour; the biopsy practiced of the tumour reported the presence of one adenocarcinoma. The patient underwent to chemotherapy but died of renal failure. In conclusion, an occult carcinoma of the stomach may rarely be present how metastasize to the oral cavity even as a first and exclusive clinical manifestation.

Palabras clave : Cancer; oral metastases; gastric cancer; gingival; chemotherapy.