Open AccessMetastatic adenocarcinoma of mandible: in search of the primary
Author(s) -
Vindhya Savithri,
R. 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 , lesion , metastasis , panoramic radiograph , radiography , surgery , radiology , cancer , anatomy , 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.