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Oberkiefermetastase eines muzinösen Schweißdrüsenkarzinoms

Fallbericht und Differenzialdiagnose

Mucinous sweat gland carcinoma of a toe with metastasis to the maxilla

A case report

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Zusammenfassung

Maligne Tumoren des Oberkiefers sind selten. Bei der differenzialdiagnostischen Abklärung muss neben den primären Tumoren auch an Metastasen gedacht werden. Deren Primärtumoren sind am häufigsten Nierenzellkarzinome, Bronchialkarzinome und Adenokarzinome der Mamma.

Im vorliegenden Fall wird erstmals über eine Oberkiefermetastase eines muzinösen Schweißdrüsenkarzinoms berichtet, die 4 Jahre nach der Entfernung des Primärtumors am Zeh bei einem 65-jährigen Patienten auftrat. 36 Monate nach der Halbseitenresektion des Oberkiefers waren keine Anzeichen eines Lokalrezidivs oder von Fernmetastasen erkennbar.

Obwohl bei malignen Hauttumoren nur sehr selten Fernmetastasen auftreten, sollten Schweißdrüsenkarzinome in die Differenzialdiagnose von Oberkiefermetastasen einbezogen werden.

Abstract

Malignant tumors of the maxilla are rare. In addition to primary tumors metastatic disease has to be considered. Renal cell carcinomas, carcinomas of the breast, lung and adenocarcinomas are constituting the most frequent primary lesions for maxillary metastases. To the best of our knowledge, we present the first case of a mucinous sweat gland carcinoma metastasizing to the maxilla four years after primary diagnosis. Thirty-two months after resecting the hemimaxilla, there are no signs of local recurrence. Although skin tumors only rarely develop distant metastases, sweat gland carcinomas should be included in the differential diagnosis of tumors metastasizing to the maxilla.

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Literatur

  1. Batson OV (1940) Function of vertebral veins and their role in the spread of metastases. Ann Surg 112:138–149

    Google Scholar 

  2. Bhaskar SN (1977) Metastatic tumors. In: Bhaskar SN (ed) Synopsis of oral pathology. Mosby, St Louis, pp 317–318

  3. Borradori L, Hertel R, Balli-Antunes M, Zala L (1988) Metastatic eccrine sweat gland carcinoma: case report. Dermatologica 177:295–299

    CAS  PubMed  Google Scholar 

  4. Castigliano SG, Rominger CJ (1954) Metastatic malignancy of the jaw. Am J Surg 87:496–507

    Article  CAS  PubMed  Google Scholar 

  5. Clausen F, Poulsen H (1963) Metastatic carcinoma to the jaws. Acta Pathol Microbiol Scand 57:361–374

    CAS  PubMed  Google Scholar 

  6. D’Amato MS, Patterson RH, Guccion JG et al. (1996) Porocarcinoma of the heel. A case report with unusual histologic features. Cancer 78:751–757

    Article  PubMed  Google Scholar 

  7. Dzwierzynski WW, Fleming MG (1999) Malignant clear-cell hidradenoma of the toe. Ann Plast Surg 43:321–323

    CAS  PubMed  Google Scholar 

  8. Gamboa-Dominguez A, Pichardo-Bahena R, Uribe Uribe NO et al. (1996) Clear-cell eccrine carcinoma of the plantar region. Follow-up of a case using histochemistry, immunohistochemistry, and flow cytometry. Rev Invest Clin 48:43–48

    CAS  PubMed  Google Scholar 

  9. Losee JE, Markowitch W Jr, Reale VF (1998) Sweat gland carcinoma of the foot: a review and patient report. Ann Plast Surg 41:550–554

    CAS  PubMed  Google Scholar 

  10. Mathis H, Kornrumpf E (1956) Metastasierung in die Kieferknochen und deren Weichteilbedeckung. Dtsch Zahnärztl Z 11:1374–1382

  11. Mehregan AH, Hashimoto K, Rahbari H (1983) Eccrine adenocarcinoma. A clinicopathologic study of 35 cases. Arch Dermatol 119:104–114

    Article  CAS  PubMed  Google Scholar 

  12. Meyer I, Shklar G (1965) Malignant tumors metastatic to mouth and jaws. Oral Surg Oral Med Oral Pathol 20:350–362

    CAS  PubMed  Google Scholar 

  13. Meyer JE, Rogers WP, Leiter B (1979) Metastatic melanoma involving the left maxillary antrum. J Laryngol Otol 93:1011–1013

    CAS  PubMed  Google Scholar 

  14. Murphy GF, Elder DE (1991) Atlas of tumor pathology. Third series, fascicle 1: non-melanocytic tumors of the skin. Bethesda/MD pp 100–107

  15. Nishimura Y (1982) Metastatic tumors of the mouth and jaws. A review of the japanese literature. J Maxillofac Surg 10:253–258

    CAS  PubMed  Google Scholar 

  16. Oikarinen VJ, Colonius PEB, Saimo P (1975) Metastatic tumours to the oral region I. An analysis of cases in the literature. Proc Finn Dent Soc 71:58–63

    CAS  PubMed  Google Scholar 

  17. Pontone M, Potter GK, Berlin SJ et al. (1994) Malignant eccrine neoplasms of the foot. J Foot Ankle Surg 33:486–491

    CAS  PubMed  Google Scholar 

  18. Spencer DM, Bigler LR, Hearne DW et al. (1995) Pedal papule. Eccrine porocarcinoma (EPC) in association with poroma. Arch Dermatol 131:211–214

    Article  CAS  Google Scholar 

  19. Srinivasan SV, Pai KM, Dayal PK et al. (1997) Metastatic malignant melanoma of maxillary gingiva. A case report. Indian J Dent Res 8:119–122

    CAS  PubMed  Google Scholar 

  20. Ujihara M, Hamanaka S, Hamanaka Y, Kamei T (1995) A case of multiple eccrine porocarcinoma with stepping-stone distribution on the foot. J Dermatol 22:450–457

    CAS  PubMed  Google Scholar 

  21. Van der Kwast WAM, van der Waal I (1974) Jaw metastases. Oral Surg Oral Med Oral Pathol 37:850–857

    PubMed  Google Scholar 

  22. Will R, Coldiron B (2000) Recurrent clear cell hidradenoma of the foot. Dermatol Surg 26:685–686

    Article  CAS  PubMed  Google Scholar 

  23. Zachariades N (1989) Neoplasms metastatic to the mouth, jaws and surrounding tissues. J Cranio Max Fac Surg 17:283–290

    CAS  Google Scholar 

  24. Zachariades N, Papanicolaou S (1982) Breast cancer metastatic to the mandible. J Oral Maxillofac Surg 40:813–818

    CAS  PubMed  Google Scholar 

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Danksagung

Wir danken Herrn Prof. Dr. W. Kühne, Freie Straße 7, 39112 Magdeburg, für die Überlassung der histopathologischen Schnitte des Primärtumors.

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Der korrespondierende Autor versichert, dass keine Verbindungen mit einer Firma, deren Produkt in dem Artikel genannt ist, oder einer Firma, die ein Konkurrenzprodukt vertreibt, bestehen.

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Authors and Affiliations

  1. Klinik für Mund-, Kiefer- und Gesichtschirurgie, Otto-von-Guericke-Universität Magdeburg

    W. Heidemann & K. L. Gerlach

  2. Institut für Pathologie, Otto-von-Guericke-Universität Magdeburg

    H.-U. Kasper

  3. Roland Ärztehaus, Dr.-Kurt-Schumacher-Straße 23, 39576l, Stendal

    W. Heidemann

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  1. W. Heidemann
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  2. H.-U. Kasper
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  3. K. L. Gerlach
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Correspondence to W. Heidemann.

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Heidemann, W., Kasper, HU. & Gerlach, K.L. Oberkiefermetastase eines muzinösen Schweißdrüsenkarzinoms. Pathologe 26, 221–225 (2005). https://doi.org/10.1007/s00292-004-0711-8

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  • DOI: https://doi.org/10.1007/s00292-004-0711-8

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