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Reminder of important clinical lesson
CASE REPORT
Metastatic adenocarcinoma of mandible: in search of the primary
  1. Vindhya Savithri,
  2. Rakesh Suresh,
  3. Mahija Janardhanan and
  4. Thara Aravind
  1. Department of Oral Pathology and Microbiology, Amrita School of Dentistry, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India
  1. Correspondence to Professor Vindhya Savithri, vinna7{at}gmail.com

Abstract

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
  • pathology

https://doi.org/10.1136/bcr-2018-227862

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    Footnotes

    • 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.