TY - JOUR T1 - Metastatic adenocarcinoma of mandible: in search of the primary JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2018-227862 VL - 11 IS - 1 SP - e227862 AU - Vindhya Savithri AU - Rakesh Suresh AU - Mahija Janardhanan AU - Thara Aravind Y1 - 2018/11/01 UR - http://casereports.bmj.com/content/11/1/e227862.abstract N2 - 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. ER -