Abstract

Malignant mesothelioma predominantly arises from the serosal surfaces of the pleural or peritoneal cavity. There is currently no effective standard treatment for mesothelioma and the prognosis for patients is poor; the majority of patients with malignant mesothelioma succumb between 12 and 17 months following diagnosis. The association of all forms of malignant mesothelioma with asbestos exposure has been well documented. However, metastasis to the oral gingiva is rare, as only four cases have previously been reported; two cases of metastasis to the tongue and four cases to the jaw bone. In the current report, the case of a 62-year-old male with metastatic mesothelioma is presented. To the best of our knowledge, this is the first report regarding the metastasis of this type of neoplasm to the maxillary gingiva.

Highlights

  • Malignant mesothelioma is a rare type of tumour, which is derived from mesothelial cells of the serosal surfaces of body cavities

  • Four cases of an oral gingiva metastasis from diffuse malignant pleural mesothelioma were identified in the English language literature using a PubMed

  • Since 1960, when Wagner et al [3] demonstrated a high incidence of mesothelioma among employees working with asbestos in the Cape Province of South Africa, increasing attention has been paid to this type of tumour, and numerous reports and reviews of mesothelioma have appeared in the medical literature [10,11]

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Summary

Introduction

Malignant mesothelioma is a rare type of tumour, which is derived from mesothelial cells of the serosal surfaces of body cavities. Four cases of an oral gingiva metastasis from diffuse malignant pleural mesothelioma were identified in the English language literature using a PubMed. A 62‐year‐old male was referred to the physicians at the Department of Dentistry and Maxillofacial Surgery at the Osaka Red Cross Hospital (Osaka, Japan), in November 1996, with a two‐month history of progressive shortness of breath on exertion. Two months after the initial presentation, the patient was referred to the Department of Dentistry and Maxillofacial Surgery, Osaka Red Cross Hospital(Osaka, Japan) with a large, painless mass on the maxillary gingiva. This mass had been present and growing gradually for two weeks. The patient succumbed 35 days later following deterioration of his medical condition

Discussion
Sugarbaker DJ and Norberto JJ
Stanley MK and Paul DF
10. Lumb PD and Suvarna SK

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