ArticleAnnals of maxillofacial surgery
Mandibular Metastasis from Undiagnosed Hepatocellular Carcinoma - A Case Report.
Article in Annals of maxillofacial surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Rationale: Cancer metastatic to the oral cavity accounts for 1%-4% of all oral malignancies, spreading from a distant primary site. Nevertheless, oral metastasis is often the first presentation of primary cancer. Patient Concerns: A 53-year-old male was referred to our institution because of painful swelling of the left parotid region that did not respond to medications. A firm mass extending towards the mandbular angle had caused trismus; furthermore, the patient complained about hypoesthesia in the V3 area. No noticeable findings could be seen intraorally. Diagnosis: Computed tomography imaging showed non-homogeneous post-contrast enhancement of the left vertical mandible branch; moreover, there were clear signs of bone erosion and swelling of the contiguous soft tissues. Treatment: Biopsy was performed under general anaesthesia, through a transoral approach. Outcomes: Histology and immunohistochemical analysis revealed hepatocellular carcinoma metastatis. Take-away Lessons: In the differential diagnosis of oral neoplasms, metastasis coming from a distant site should always be taken into consideration.
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