Article Text

Unusual presentation of more common disease/injury
An atypical presentation of breast cancer metastasis
  1. George Garas1,
  2. Adam Stacey-Clear1,
  3. Steve Whitaker2,
  4. Jeremy Collyer3
  1. 1
    East Surrey Hospital, Breast and Endocrine Surgery, Canada Avenue, Redhill, Surrey, RH1 5RH, UK
  2. 2
    The Royal Surrey County Hospital, Clinical Oncology, Egerton Road, Guilford, Surrey, GU2 7XX, UK
  3. 3
    Queen Victoria Hospital, Oral and Maxillofacial Surgery, Holtye Road, East Grinstead, Sussex, RH19 3DZ, UK
  1. George Garas, garas_george{at}


A 78-year-old woman heard a crack in her left mandible while eating a biscuit and reported to her dentist, who urgently referred her to the oral and maxillofacial surgery department. On examination she had a lesion in the body of her left mandible, which had eroded through the lower border and caused a pathological fracture. Her past medical history included a left mastectomy and level II axillary lymph node dissection for a 27 mm grade III invasive ductal carcinoma of the left breast 9 months prior to her mandibular fracture. A transoral incisional biopsy was performed which confirmed the mandibular lesion to be an osteolytic metastasis from the breast. The metastasis was subsequently surgically removed and the remaining mandible repaired with a reconstruction plate followed by postoperative radiotherapy. The patient regained full function of her mandible and is now eating normally. She is being closely followed-up in the oncology outpatient department.

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  • Competing interests: None.

  • Patient consent: Patient/guardian consent was obtained for publication.