We present here a case of a 64-year-old female patient who reported with a complaint of pain in the chin region of 3-month duration. The radiographs revealed an irregular radiolucent lesion in the anterior part of the mandible. An incisional biopsy was carried out and the microscopy showed features of adenocarcinoma. Suspecting a metastatic lesion, the patient was then sent for whole body examination which showed a mass in the lungs. A whole body scan also showed metastasis to other organs such as kidney, gallbladder and vertebrae. This case is unusual in that the patient complained only of a vague jaw pain with no other systemic symptoms even in the presence of widespread disease.
- dentistry and oral medicine
- head and neck cancer
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Contributors Concepts and case diagnosis: VS. Definition of intellectual content, Literature search; manuscript preparation; manuscript editing; manuscript review: VS, RS, MJ and TA.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
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