Metastatic breast cancer of the oral cavity.
OBJECTIVE
To present a rare case of breast carcinoma initially presenting as an oral cavity mass.


METHODS
Case report with review of the literature.


RESULTS
A case is presented of a postmenopausal woman with a remote history of treated breast carcinoma who was declared disease-free 2 years before presentation. She presented with an enlarging vestibule mass consistent with metastatic breast carcinoma. Subsequent investigations revealed widely metastatic disease for which the patient was referred for palliative chemotherapy.


CONCLUSIONS
Metastatic disease to the oral cavity represents only 1% of all oral cavity malignancies. A high index of clinical suspicion is necessary when evaluating patients with a history of non-head and neck carcinoma.
Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, USA.
Robert Todd
RT
Adelson
Robert J
RJ
DeFatta
Brett A
BA
Miles
Steven L
SL
Hoblitt
Yadranko
Y
Ducic
D000230:Adenocarcinoma / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery; D044963:Biopsy, Fine-Needle; D001943:Breast Neoplasms / Q000473:pathology*; D017024:Chemotherapy, Adjuvant; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery; D010166:Palliative Care; D017698:Postmenopause