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KMID : 0614620160680060321
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Korean Journal of Gastroenterology
2016 Volume.68 No. 6 p.321 ~ p.325
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A Case of Hepatocellular Carcinoma Presenting as a Gingival Mass
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Kwon Min-Jung
Ryu Soo-Hyung
Jo Soo-Yeon
Kwak Cheol-Hoon
Yoon Won-Jae
Moon Jeong-Seop
Lee Hye-Kyung
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Abstract
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Oral metastatic tumor, which is uncommon and represents less than 1% of malignant oral neoplasms, usually arises from a primary mucosal or cutaneous cancer located in the head and neck regions. Metastasis of hepatocellular carcinoma (HCC) to the oral cavity, especially to gingiva, is extremely rare. A 50-year-old man, who was a chronic alcoholic and hepatitis B virus carrier, presented with abdominal distension and weight loss for the past 3 months. Three-phased contrast-enhanced abdominal CT revealed numerous conglomerated masses in the liver, suggesting huge HCCs arising in the background of liver cirrhosis with a large amount of ascites. He complained of recurrent profuse bleeding from the left upper gingival mass. A facial CT revealed an oral cavity mass destructing the left maxillary alveolar process and hard palate, which was diagnosed as metastatic HCC by an incisional biopsy. Herein, we report a case of metastatic HCC to the gingiva.
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KEYWORD
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Hepatocellular carcinoma, Neoplasm metastasis, Gingiva, Mouth
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