Abstract
In this paper, we report on the clinical course of a case of metastatic hepatocellular carcinoma to bilateral maxillary gingiva.
The patient is a 91-year-old male with terminal-stage hepatoma, who visited Hakujikai Memorial Hospital because of external hemorrhage of the right maxillary gingiva. Although hemostasis using electrocauterization was tried by an otolaryngologist, it was unsuccessful. Consequently the patient was referred to our Department of Oral and Maxillofacial Surgery. A bloody and elastic-soft mass was present in the right palatomaxillary gingiva of the molar region, adjacent to the border of the partial denture. In addition, another lesion was observed in the left buccal gingiva of the left maxillary first premolar. It looked like an angiomatoid epulis. Excisional biopsy was performed for each lesion, in order to enable hemostasis and pathological examination. As a result, hemostasis was complete and we diagonosed metastatic tumors in the maxillary gingiva on the basis of their pathological diagnosis of moderate differentiated hepatocellular carcinoma.
