[Isolated mandibular metastases. Therapeutic strategy. Apropos of 7 cases].

M A Germain, P Marandas, A M Leridant, M Julieron, M Schlumberger, G Mamelle, C Domenge
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Abstract

Among the mandibular tumours, the secondary malignant tumours are uncommon. We relate 7 cases observed between 1977 and 1995. Two cases have revealed the original cancer (rectum, prostate). The five other cases were discovered during the evolution of the original cancer (colon, lung, kidney, thyroid, breast). These 7 mandibular metastases were isolated. The treatment included a mandibular resection in 6 cases. In one of these cases, the reconstruction was performed with a free vascularized fibular transplant with success. Among the seven cases, two patients are alive, at the present time, with a mean follow-up of 3 years. This justifies a curative treatment.

[分离的下颌转移。治疗策略。[7例]。
在下颌骨肿瘤中,继发性恶性肿瘤并不常见。我们报告了1977年至1995年间观察到的7例病例。2例已发现原发癌(直肠、前列腺)。其他5例是在原发癌(结肠癌、肺癌、肾癌、甲状腺癌、乳腺癌)的演变过程中发现的。这7例下颌转移灶是分离的。治疗包括6例下颌骨切除术。在其中一个病例中,重建成功地进行了游离带血管的腓骨移植。在7例病例中,2例患者目前存活,平均随访3年。这证明有必要进行治愈性治疗。
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