Gingival Metastasis as First Sign of Multiorgan Dissemination of Epithelioid Malignant Mesothelioma Andrea Billè, Marco Platania, Giuseppe Pelosi, Barbara.

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Gingival Metastasis as First Sign of Multiorgan Dissemination of Epithelioid Malignant Mesothelioma Andrea Billè, Marco Platania, Giuseppe Pelosi, Barbara Padovano, Pasquale Quattrone, Ugo Pastorino Journal of Thoracic Oncology Volume 9, Issue 8, Pages 1226-1229 (August 2014) DOI: 10.1097/JTO.0000000000000224 Copyright © 2014 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 1 Gengival metastasis with erosion of the bone and mucosa. Journal of Thoracic Oncology 2014 9, 1226-1229DOI: (10.1097/JTO.0000000000000224) Copyright © 2014 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 2 A-B, Epithelial mesothelioma infiltrating the visceral pleura and lung parenchyma underneath, the arrow showed the bronchial epithelium; C-D, sarcomatoid mesothelioma ulcerating the gingival mucosa (*). Journal of Thoracic Oncology 2014 9, 1226-1229DOI: (10.1097/JTO.0000000000000224) Copyright © 2014 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 3 A, Coronal PET maximum intensity projection image showed no 18F-fluorodeoxyglucose uptake both in mandible and adrenal glands (May 2013); (B) Coronal PET MIP image showed higher FDG uptake in adrenals and mandible (October 2013); (C–D). axial and coronal MIP positron emission tomography (PET) and PET computed tomography images with higher tracer uptake in adrenals (maximum Standardized uptake value, SUVmax 8.8) and in mandible (SUVmax8.3). Journal of Thoracic Oncology 2014 9, 1226-1229DOI: (10.1097/JTO.0000000000000224) Copyright © 2014 International Association for the Study of Lung Cancer Terms and Conditions