Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011 Jan 1;111(1):e21-6. Epub 2010 Sep 1.
Department of Clinical Oncology, Weston Park Hospital, Sheffield, UK.
We report a case of metastatic mesothelioma presenting as an oral metastasis in a 46-year-old patient. The patient presented with 2 polypoid lesions that appeared to be benign on the dorsum of the tongue. Excisional biopsy showed the presence of metastatic carcinoma that on further investigation proved to be mesothelioma. The initial presentation of mesothelioma as an oral metastasis is not previously reported. This article highlights the importance of biopsy and histopathological diagnosis in presumed benign lesions and the role of the general dental practitioner in screening for oral neoplasms.