title: Breast metastasis around dental implants: a case report.
abstract: BACKGROUND
  Metastases to the oral cavity and to the jaws are rare; hence, the clinical manifestations of the oral metastasis lesion could frequently be simulating general pathologic entities, making the diagnosis a challenging process to the dental team. Local factors, such as trauma, have been observed to facilitate the growth of blood-borne tumors. To this end, surgical procedures such as fixture placement might cause cancer cells to spread.
  
  
  OBJECTIVE
  Careful clinical examination is a valuable help in diagnosing oral lesions, which can improve the quality of life of patients and reduce the risks of oral complications.
  
  
  METHODS
  A female patient was referred to the clinic with symptoms of irritation, swelling, and pain associated with implants in the mandible and the maxilla.
  
  
  RESULTS
  Clinical examination, x-ray, and histopathology revealed that the patients suffered from a metastatic lesion, primary tumor being an adenocarcinoma of the breast diagnosed at the same time.
  
  
  CONCLUSIONS
  Optimal clinical examination in conjunction with radiography and histopathology is a necessity in order to discover malignant lesions in time. Routine dental check-ups must comprise more thorough soft-tissue examination.
authors.affiliation: Universidade Paulista, São Paulo, Brazil. lldib@uol.com.br
authors.forename: Luciano Lauria
authors.initials: LL
authors.lastname: Dib
authors.forename: Ana Laura
authors.initials: AL
authors.lastname: Soares
authors.forename: Renata Lazzari
authors.initials: RL
authors.lastname: Sandoval
authors.forename: Ulf
authors.initials: U
authors.lastname: Nannmark
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology / Q000556:secondary*; D000368:Aged; D001943:Breast Neoplasms / Q000473:pathology*; D015921:Dental Implants; D017809:Fatal Outcome; D005260:Female; D005887:Gingival Neoplasms / Q000556:secondary*; D006801:Humans; D008334:Mandible; D008437:Maxilla; D010166:Palliative Care
chemical_list: D015921:Dental Implants