Metastatic hepatocellular carcinoma to the mandibular gingiva —A case report—

Abstract

We describe a case of metastatic hepatocellular carcinoma to the right mandibular gingiva. The patient was a 73-yearold male who underwent two sessions of transcatheter arterial embolization and an en-bloc resection of the left lateral segment of the liver. Metastasis of mandibular gingiva and submental lymph node occurred one month and three months respectively after resection of the primary lesion. Marginal resection of the mandible with adequate margin and supraomohyoid neck dissection were performed. Though the patient subsequently died due to multiple organ failure seven months later, locoregional recurrence was not observed in the oral & maxillofacial and cervical region. Surgical treatment may prevent loss of the masticatory, speech and swallowing function and improve the patient's quality of life.