# Uncommon Metastasis of a Large-Cell Neuroendocrine Carcinoma From the Lungs to the Buccal Palatal Region

**Authors:** Jihane Derfoufi, Fatima Rezzoug, Meryem El Jarroudi, Karich Nassira, Ouissam Al Jarroudi, Sami Aziz Brahmi, Said Afqir

PMC · DOI: 10.7759/cureus.67469 · Cureus · 2024-08-22

## TL;DR

This case study reports a rare metastasis of a large-cell neuroendocrine lung carcinoma to the mouth and highlights the need for further research into such unusual cancer spread.

## Contribution

The paper contributes a rare clinical case of LCNET metastasis to the oral cavity and emphasizes the need for deeper understanding of its mechanisms.

## Key findings

- A 51-year-old male presented with metastasis of large-cell neuroendocrine carcinoma from the lungs to the buccal palatal region.
- Diagnosis was confirmed through analysis of gingival and pulmonary tissue samples.
- The case highlights the rarity and complexity of managing such metastases.

## Abstract

The metastasis of a primary lung tumor to the mouth cavity is a rare occurrence. In addition, the occurrence of neuroendocrine bronchial carcinoma with large cells is uncommon. When metastases are not possible to surgically remove, the conventional treatment for large-cell neuroendocrine tumors (LCNET) is still used. The etiology of these metastases remains inadequately comprehended, rendering their administration very intricate. The oncologist at this institution must possess a comprehensive comprehension of how to effectively oversee the patient's quality of life to guarantee the uninterrupted progression of therapy. This paper is a case study of a 51-year-old male patient who was hospitalized due to a severe dry cough and dysphonia that began two months prior to seeking medical consultation. Gingival hyperplasia was diagnosed during a clinical examination. The diagnosis of LCNET (carcinoma of the lung) was determined after a thorough etiological investigation utilizing gingival samples and pulmonary tissue. The objective of this study was to provide a description of our case, conduct an analysis of the response to therapy, and make a contribution to the current body of research. The purpose was to encourage more investigation into this type of metastasis, aiming to get a deeper comprehension of the mechanisms behind the metastatic spread and assess its predictive significance in future instances.

## Linked entities

- **Diseases:** large-cell neuroendocrine carcinoma (MONDO:0005057)

## Full-text entities

- **Diseases:** carcinoma of the lung (MESH:D008175), Gingival hyperplasia (MESH:D005885), Metastasis (MESH:D009362), Neuroendocrine Carcinoma (MESH:D018278), -cell neuroendocrine tumors (MESH:D018358), dry cough (MESH:D003371), dysphonia (MESH:D055154)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11415842/full.md

## References

25 references — full list in the complete paper: https://tomesphere.com/paper/PMC11415842/full.md

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Source: https://tomesphere.com/paper/PMC11415842