Metastatic adenocarcinoma of mandible: in search of the primary | Zendy

Vindhya Savithri | Zendy; Rakesh Suresh | Zendy; Mahija Janardhanan | Zendy; Thara Aravind | Zendy

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Metastatic adenocarcinoma of mandible: in search of the primary

Author(s) -

Vindhya Savithri,

Rakesh Suresh,

Mahija Janardhanan,

Thara Aravind

Publication year - 2018

Publication title -

bmj case reports

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.231

H-Index - 26

ISSN - 1757-790X

DOI - 10.1136/bcr-2018-227862

Subject(s) - medicine , chin , mandible (arthropod mouthpart) , adenocarcinoma , biopsy , metastasis , lesion , radiography , panoramic radiograph , metastatic lesion , radiology , surgery , anatomy , cancer , botany , biology , genus

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.

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