Two case reports on Mandibular metastases
Autor: | Opaleye Taofiq Olamide, Ladeji A. Mofoluwake, Salami A. Yussuf, Adesina Oluwafemi Adewale |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
Male
medicine.medical_specialty metastatic tumours mandible tibia thyroid Case Report Metastasis Diagnosis Differential Lesion Young Adult Fatal Outcome stomatognathic system Adenocarcinoma Follicular medicine Humans Tibia Osteosarcoma business.industry Carcinoma Palliative Care Thyroid Mandible Middle Aged medicine.disease stomatognathic diseases Mandibular Neoplasms Skull medicine.anatomical_structure Female Histopathology Radiology medicine.symptom Tomography X-Ray Computed business |
Zdroj: | Ghana Medical Journal; Vol 52, No 3 (2018); 168-172 |
ISSN: | 0016-9560 |
Popis: | Metastatic tumours of the oral cavity are not common. The most common site for bone metastases in the head and neck region is the mandible. Metastatic lesion of the mandible most commonly originate from the lungs in men and breast in women, and these lesions (or tumours) usually are carcinomas rather than sarcomas. We report two cases of metastatic lesions in the mandible: (1) A 19year old male with right mandibular swelling and a nodular swelling in the distal two–third of the right tibia. Radiograghs revealed sclerotic lesion with a sunburst appearance in both the jaw and tibia. Histology of the jaw lesion confirmed a metastatic osteosarcoma of the mandible. (2) A 51year old female with a right mandibular swelling with associated swelling in the anterior neck, right shoulder and right parietal region of the skull. Computerised tomography scan (CT) of the jaws showed an osteolytic lesion of the right mandible. CT scan of the brain also showed a large lytic lesion seen in the posterior aspect of the right parietal bone. Histology of the jaw mass confirmed a metastatic follicular carcinoma from the thyroid. Mandibular metastasis may be the first presenting feature of underlying occult malignancy of another primary site. Therefore, clinicians should maintain a high level of suspicion while evaluating patients with a history of cancer presenting with oral lesions. Keywords: metastatic tumours, mandible, tibia, thyroid |
Databáze: | OpenAIRE |
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