Mandibular metastasis in a patient with undiscovered lung cancer: a case report
Metastatic tumors account for 1% of all oral malignancies. Jawbone metastasis is uncommon. The mandible is the most frequent site. It is rare in the oral soft tissues, accounting for only 0.1% of oral malignancies. The majority of metastatic cases (70%) reported in the literature have primary tumors...
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| Format: | Article |
| Language: | English |
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PAMJ
2020-11-01
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| Series: | PAMJ Clinical Medicine |
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| Online Access: |
https://www.clinical-medicine.panafrican-med-journal.com/content/article/4/119/pdf/119.pdf
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| _version_ | 1818321187074211840 |
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| author | Raouaa Belkacem Chebil Touil Dorsaf Lamia Oualha Zouha Mziou Badreddine Sriha Nabiha Douki |
| author_facet | Raouaa Belkacem Chebil Touil Dorsaf Lamia Oualha Zouha Mziou Badreddine Sriha Nabiha Douki |
| author_sort | Raouaa Belkacem Chebil |
| collection | DOAJ |
| description | Metastatic tumors account for 1% of all oral malignancies. Jawbone metastasis is uncommon. The mandible is the most frequent site. It is rare in the oral soft tissues, accounting for only 0.1% of oral malignancies. The majority of metastatic cases (70%) reported in the literature have primary tumors located in the lung, breast, kidney and colon. The clinical presentation of metastatic tumors is variable. This may create diagnostic dilemma and may lead to erroneous diagnoses. In this work, we present the radiological monitoring and the diagnostic dilemma of a mandibular metastasis resulting from a lung cancer. We report a case of a 57-year-old man who was referred to our department for the treatment of a left buccal cellulitis. On extra-oral examination, the patient presented a non-painful mass on the left mandibular ramus. The panoramic radiography showed a radiolucent lesion in the ramus with enlargement of the mandibular foramen. After excision of the jaw mass, histology revealed a metastatic adenocarcinoma having a lung origin. Mandibular metastasis may be the first presenting feature of an underlying occult malignancy of another primary site. Clinicians should always maintain a high index of suspicion for the possibility that a radiolucent lesion could be a metastatic tumor. Lip and chin hypoesthesia is an important symptom for malignancy detection. |
| first_indexed | 2024-12-13T10:36:55Z |
| format | Article |
| id | doaj.art-35be69e8359c4830a728f5a326b0142a |
| institution | Directory Open Access Journal |
| issn | 2707-2797 2707-2797 |
| language | English |
| last_indexed | 2024-12-13T10:36:55Z |
| publishDate | 2020-11-01 |
| publisher | PAMJ |
| record_format | Article |
| series | PAMJ Clinical Medicine |
| spelling | doaj.art-35be69e8359c4830a728f5a326b0142a2022-12-21T23:50:41ZengPAMJPAMJ Clinical Medicine2707-27972707-27972020-11-01411910.11604/pamj-cm.2020.4.119.2551425514Mandibular metastasis in a patient with undiscovered lung cancer: a case reportRaouaa Belkacem Chebil0Touil Dorsaf1Lamia Oualha2Zouha Mziou3Badreddine Sriha4Nabiha Douki5 Department of Oral Medicine and Oral Surgery, Faculty of Dental Medicine, Monastir University, Monastir, Tunisia Department of Oral Medicine and Oral Surgery, Faculty of Dental Medicine, Monastir University, Monastir, Tunisia Department of Oral Medicine and Oral Surgery, Faculty of Dental Medicine, Monastir University, Monastir, Tunisia Department of Stomatology and Maxillo Facial Surgery, Faculty of Medicine, Sousse University, Sousse, Tunisia Department of Cytology and Pathological Anatomy, Faculty of Medicine, Sousse University, Sousse, Tunisia Department of Oral Medicine and Oral Surgery, Faculty of Dental Medicine, Monastir University, Monastir, Tunisia Metastatic tumors account for 1% of all oral malignancies. Jawbone metastasis is uncommon. The mandible is the most frequent site. It is rare in the oral soft tissues, accounting for only 0.1% of oral malignancies. The majority of metastatic cases (70%) reported in the literature have primary tumors located in the lung, breast, kidney and colon. The clinical presentation of metastatic tumors is variable. This may create diagnostic dilemma and may lead to erroneous diagnoses. In this work, we present the radiological monitoring and the diagnostic dilemma of a mandibular metastasis resulting from a lung cancer. We report a case of a 57-year-old man who was referred to our department for the treatment of a left buccal cellulitis. On extra-oral examination, the patient presented a non-painful mass on the left mandibular ramus. The panoramic radiography showed a radiolucent lesion in the ramus with enlargement of the mandibular foramen. After excision of the jaw mass, histology revealed a metastatic adenocarcinoma having a lung origin. Mandibular metastasis may be the first presenting feature of an underlying occult malignancy of another primary site. Clinicians should always maintain a high index of suspicion for the possibility that a radiolucent lesion could be a metastatic tumor. Lip and chin hypoesthesia is an important symptom for malignancy detection. https://www.clinical-medicine.panafrican-med-journal.com/content/article/4/119/pdf/119.pdf oral metastasis ; lung cancer; prognosis. |
| spellingShingle | Raouaa Belkacem Chebil Touil Dorsaf Lamia Oualha Zouha Mziou Badreddine Sriha Nabiha Douki Mandibular metastasis in a patient with undiscovered lung cancer: a case report PAMJ Clinical Medicine oral metastasis ; lung cancer; prognosis. |
| title | Mandibular metastasis in a patient with undiscovered lung cancer: a case report |
| title_full | Mandibular metastasis in a patient with undiscovered lung cancer: a case report |
| title_fullStr | Mandibular metastasis in a patient with undiscovered lung cancer: a case report |
| title_full_unstemmed | Mandibular metastasis in a patient with undiscovered lung cancer: a case report |
| title_short | Mandibular metastasis in a patient with undiscovered lung cancer: a case report |
| title_sort | mandibular metastasis in a patient with undiscovered lung cancer a case report |
| topic | oral metastasis ; lung cancer; prognosis. |
| url |
https://www.clinical-medicine.panafrican-med-journal.com/content/article/4/119/pdf/119.pdf
|
| work_keys_str_mv | AT raouaabelkacemchebil mandibularmetastasisinapatientwithundiscoveredlungcanceracasereport AT touildorsaf mandibularmetastasisinapatientwithundiscoveredlungcanceracasereport AT lamiaoualha mandibularmetastasisinapatientwithundiscoveredlungcanceracasereport AT zouhamziou mandibularmetastasisinapatientwithundiscoveredlungcanceracasereport AT badreddinesriha mandibularmetastasisinapatientwithundiscoveredlungcanceracasereport AT nabihadouki mandibularmetastasisinapatientwithundiscoveredlungcanceracasereport |