Numb chin syndrome as a primary presentation of metastatic breast cancer
Numb chin syndrome (NCS) is characterized by facial neuropathy along the distribution of the mental branch of the trigeminal nerve. We report a case of NCS in a 65 year old woman who initially presented to her dentist with nonspecific symptoms that she thought were related to a tooth infection. The...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2017-01-01
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| Series: | Journal of Indian Academy of Oral Medicine and Radiology |
| Subjects: | |
| Online Access: | http://www.jiaomr.in/article.asp?issn=0972-1363;year=2017;volume=29;issue=1;spage=35;epage=38;aulast=Sahni |
| _version_ | 1828743120630579200 |
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| author | Jasjot Sahni Allan Jones Glenn Clark Parish Sedghizadeh |
| author_facet | Jasjot Sahni Allan Jones Glenn Clark Parish Sedghizadeh |
| author_sort | Jasjot Sahni |
| collection | DOAJ |
| description | Numb chin syndrome (NCS) is characterized by facial neuropathy along the distribution of the mental branch of the trigeminal nerve. We report a case of NCS in a 65 year old woman who initially presented to her dentist with nonspecific symptoms that she thought were related to a tooth infection. The patient was otherwise healthy and her medical history was significant for breast cancer treated 20 years prior; her cancer was thought to be in complete remission. Upon clinical examination and conventional dental radiography, no pathology was seen such as odontogenic, periodontal, or jawbone infection. Only paresthesia and hypoesthesia was noted unilaterally in her left chin, jaw and lower lip. A computed tomography scan was obtained for further evaluation and revealed lytic metastatic disease involving the right mandible at the level of the mandibular foramen; lytic lesions of the thoracic vertebrae and multiple pulmonary nodules were also noted. Oncologic referral was made immediately which confirmed a diagnosis of metastatic breast cancer. Familiarity with NCS is important for oral health care providers in order to identify etiology and differential diagnosis, as well as to provide appropriate referral and management. |
| first_indexed | 2024-04-13T01:31:06Z |
| format | Article |
| id | doaj.art-941037e46782483ab73f246e587bbef8 |
| institution | Directory Open Access Journal |
| issn | 0972-1363 |
| language | English |
| last_indexed | 2024-04-13T01:31:06Z |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Indian Academy of Oral Medicine and Radiology |
| spelling | doaj.art-941037e46782483ab73f246e587bbef82022-12-22T03:08:30ZengWolters Kluwer Medknow PublicationsJournal of Indian Academy of Oral Medicine and Radiology0972-13632017-01-01291353810.4103/jiaomr.JIAOMR_2_16Numb chin syndrome as a primary presentation of metastatic breast cancerJasjot SahniAllan JonesGlenn ClarkParish SedghizadehNumb chin syndrome (NCS) is characterized by facial neuropathy along the distribution of the mental branch of the trigeminal nerve. We report a case of NCS in a 65 year old woman who initially presented to her dentist with nonspecific symptoms that she thought were related to a tooth infection. The patient was otherwise healthy and her medical history was significant for breast cancer treated 20 years prior; her cancer was thought to be in complete remission. Upon clinical examination and conventional dental radiography, no pathology was seen such as odontogenic, periodontal, or jawbone infection. Only paresthesia and hypoesthesia was noted unilaterally in her left chin, jaw and lower lip. A computed tomography scan was obtained for further evaluation and revealed lytic metastatic disease involving the right mandible at the level of the mandibular foramen; lytic lesions of the thoracic vertebrae and multiple pulmonary nodules were also noted. Oncologic referral was made immediately which confirmed a diagnosis of metastatic breast cancer. Familiarity with NCS is important for oral health care providers in order to identify etiology and differential diagnosis, as well as to provide appropriate referral and management.http://www.jiaomr.in/article.asp?issn=0972-1363;year=2017;volume=29;issue=1;spage=35;epage=38;aulast=SahniJawsmental nerve neuropathymetastatic cancernumb chin syndrome |
| spellingShingle | Jasjot Sahni Allan Jones Glenn Clark Parish Sedghizadeh Numb chin syndrome as a primary presentation of metastatic breast cancer Journal of Indian Academy of Oral Medicine and Radiology Jaws mental nerve neuropathy metastatic cancer numb chin syndrome |
| title | Numb chin syndrome as a primary presentation of metastatic breast cancer |
| title_full | Numb chin syndrome as a primary presentation of metastatic breast cancer |
| title_fullStr | Numb chin syndrome as a primary presentation of metastatic breast cancer |
| title_full_unstemmed | Numb chin syndrome as a primary presentation of metastatic breast cancer |
| title_short | Numb chin syndrome as a primary presentation of metastatic breast cancer |
| title_sort | numb chin syndrome as a primary presentation of metastatic breast cancer |
| topic | Jaws mental nerve neuropathy metastatic cancer numb chin syndrome |
| url | http://www.jiaomr.in/article.asp?issn=0972-1363;year=2017;volume=29;issue=1;spage=35;epage=38;aulast=Sahni |
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