METASTATIC PROSTATE ADENOCARCINOMA IN THE MANDIBLE: CASE REPORT.

Autor: TEIXEIRA, Luana Darc Diafilos, TAGLIABUE, Jade Fontenele, de CARVALHO, Júlia Eyd Sabbagh Rangel, MENEZES, Ana Carolina dos Santos, ALVES, Lísia Daltro Borges, BOASQUEVISQUE, Camila Santos, ANTUNES, Héliton Spíndola
Zdroj: Oral Surgery, Oral Medicine, Oral Pathology & Oral Radiology; Jun2024, Vol. 137 Issue 6, pe193-e193, 1p
Abstrakt: Case Report: A 53-year-old male patient, diagnosed with adenocarcinoma of the prostate with bone metastasis in 2020, underwent surgery, chemotherapy (Docetaxel), and initiated Zometa in 2021. He was referred for dental evaluation due to oral pain and paresthesia in the lower lip and chin on the right side. Physical examination revealed swelling in the vestibular region near teeth 45 and 46, with pain upon vertical percussion of tooth 46. Panoramic radiography displayed a mixed image between the roots of teeth 45 and 46 and an increased space corresponding to the periodontal ligament. Diagnostic hypotheses included metastasis, osteonecrosis, or periapical lesion. The patient was referred for endodontic treatment of tooth 46, and a fine needle aspiration biopsy was performed on the right mandible (tooth 46). Histopathological analysis was suggestive of metastatic prostate adenocarcinoma. The patient has been under dental follow-up for nine months and ongoing oncology treatment with Mitoxantrone and quarterly Zometa. [ABSTRACT FROM AUTHOR]
Databáze: Supplemental Index