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Gozgec E, Ogul H, Eren S. Bilateral Masticator Space Metastasis of Breast Cancer Mimicking Abscess. EAR, NOSE & THROAT JOURNAL 2023:1455613231154034. [PMID: 36692349 DOI: 10.1177/01455613231154034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023] Open
Abstract
Metastasis to the masticator space and mandible is very rare. The most common origin in women is breast cancer. Cystic metastases may radiologically mimic abscess. Definitive diagnosis can be made histopathologically. The prognosis of these patients is very poor and early diagnosis is important. Therefore, metastasis should be considered in the differential diagnosis of oral lesions.
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Affiliation(s)
- Elif Gozgec
- Department of Radiology, School of Medicine, Ataturk University, Erzurum, Turkey
| | - Hayri Ogul
- Department of Radiology, Duzce University, Duzce, Turkey
| | - Suat Eren
- Department of Radiology, School of Medicine, Ataturk University, Erzurum, Turkey
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Gupta S, Jawanda MK, Ganganna A, Basavaraju S, Kashav N, Dhawan J, Yadav SK, Yadav AB. Jaw bone metastasis from Lung cancer as sole primary source: A systematic review. J Clin Exp Dent 2022; 14:e573-e593. [PMID: 35912028 PMCID: PMC9328481 DOI: 10.4317/jced.59554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2022] [Accepted: 05/04/2022] [Indexed: 01/25/2023] Open
Abstract
Background Lung cancer is one of the leading causes of death worldwide. Lung cancer metastasis to oral region is very rare. Very few research work has been conducted till date to analyse the jaw bone metastasis from Lung cancer as the primary source. The goal of this research was to examine published cases of jaw bone metastasis from lung cancer as the sole primary source from 1st December 1961 to 31st December 2021 and to learn about their characteristics.
Material and Methods An electronic search of the published English literature was performed in PubMed/ Medline, Scopus, Google Scholar, and Research gate databases, using keywords like ‘Lung cancer’, OR/AND ‘Lung carcinoma’, OR/AND ‘Metastasis’, OR/AND ‘Primary’, OR/AND ‘Source’, OR/AND ‘Oral cavity’ OR/AND ‘Jaw’, OR/ AND ‘Mandible’, OR/AND ‘Maxilla’, OR/ AND ‘Temporomandibular joint’, OR/ AND ‘Condyle’, OR/ AND ‘Ramus’, OR/ AND ‘Maxillary sinus’, AND Initial’, OR/ AND ‘Treatment’, OR/AND ‘Prognosis’, OR/ AND ‘Follow-up’, OR/AND ‘Recurrence’, OR/ AND ‘Survival rate’. We also searched all related journals manually. Reference list of all articles was also checked. Data extracted were tabulated and summarized.
Results In total, we found 60 relevant publications with 66 patients in our research. The prognosis was poor, with a survival time of 1 week to 1.5 years. The most prevalent diagnosed metastatic lung cancer to jaw bones was adenocarcinoma and mandible was the predominant site.
Conclusions Jaw bone metastasis from lung cancer is rare and has a bad prognosis. Because of their resemblance to other jaw problems and late clinical signs, these lesions go unnoticed the majority of the time, making detection difficult. More cases need to be published in order to raise awareness of these lesions and gain a better understanding of their characteristics. Key words:Jaw bone, lung cancer, metastasis, primary, prognosis.
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Affiliation(s)
- Sonia Gupta
- MDS, Reader, Department of Oral Pathology and Microbiology & Forensic odontology, Rayat and Bahra Dental college and hospital, Mohali, Punjab, India
| | - Manveen-Kaur Jawanda
- MDS, Professor & Head, Department of Oral Pathology and Microbiology & Forensic odontology. Laxmi bai institute of dental sciences and hospital, Patiala, Punjab, India
| | - Aruna Ganganna
- MDS, Assistant Professor, Department of Periodontology, JSS Dental College and Hospital, Mysore, Karnataka, India
| | - Suman Basavaraju
- MDS, Reader, Department of Periodontology, JSS Dental College and Hospital, Mysore, Karnataka, India
| | - Neha Kashav
- MDS, Senior Lecturer, Department of Pediatric and Preventive Dentistry, Bhojia Dental College and Hospital, Baddi, HP, India
| | - Jayata Dhawan
- MDS, Senior Lecturer, Department of Pediatric and Preventive Dentistry, MM College of Dental Sciences and Research, Mullana, Haryana, India
| | - Sumit-Kumar Yadav
- MDS, Professor, Department of Orthodontics & Dentofacial Orthopedics, D J College of Dental Sciences & Research, Modinagar, UP, India
| | - Achla-Bharti Yadav
- MDS, Professor, Department of Oral Pathology & Microbiology, D J College of Dental Sciences and Research, Modinagar, UP, India
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Michalak SR, Woerde DJ, Wilson SS, Alonso FH, Hardy BT. Mandibular metastasis of a prostatic carcinoma in a dog. Vet Med Sci 2021; 7:1488-1492. [PMID: 33955707 PMCID: PMC8464293 DOI: 10.1002/vms3.513] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2021] [Revised: 04/08/2021] [Accepted: 04/12/2021] [Indexed: 11/07/2022] Open
Abstract
Skeletal metastasis is a common finding in dogs with prostatic carcinoma and most frequently involves the lumbar vertebrae and pelvis. In the present report, we describe the case of a prostatic carcinoma in a 6‐year‐old Labrador retriever, who developed apparent oral sensitivity and pain within a week of initial diagnosis. Computed tomography of the skull revealed a mixed osteoproductive and osteolytic mass of the condylar process of the left mandible, and cytologic evaluation of the mass was consistent with metastatic prostatic carcinoma. To our knowledge, this is the first published report of mandibular metastasis of a prostatic carcinoma in a dog.
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Affiliation(s)
- Sarah R Michalak
- Davis School of Veterinary Medicine, University of California, Davis, CA, USA
| | - Dennis J Woerde
- Davis School of Veterinary Medicine, University of California, Davis, CA, USA
| | - Sabrina S Wilson
- Davis School of Veterinary Medicine, University of California, Davis, CA, USA
| | - Flavio H Alonso
- Davis School of Veterinary Medicine, University of California, Davis, CA, USA
| | - Brian T Hardy
- Davis School of Veterinary Medicine, University of California, Davis, CA, USA
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Radiological spectrum of metastasis to the oral and maxillofacial region. Oral Radiol 2021; 38:37-48. [PMID: 33743130 DOI: 10.1007/s11282-021-00523-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2020] [Accepted: 02/27/2021] [Indexed: 12/19/2022]
Abstract
OBJECTIVE Oral and maxillofacial metastasis may be the first indication of an undiscovered malignancy in a significant number of cases. Therefore, the rationale of this article is to highlight the clinical and radiological presentation of metastatic lesions involving the oral and maxillofacial region. This will serve as a reference for clinicians, who may first encounter patients with possible metastatic lesions in this region. METHODS Histologically confirmed cases of oral and maxillofacial metastasis were retrospectively reviewed over a 30-year period. Twenty-three patients were included in the study. The following clinical information was reviewed: age at diagnosis, gender, medical history, main complaint, site of metastatic tumour, radiological features, preliminary clinical diagnosis and final histological diagnosis. RESULTS Females were twice as commonly affected, with metastatic lesions three times more likely to occur in the mandible. Common clinical presentations included swelling, pain and paraesthesia, with non-specific dental-related symptoms occurring in a few cases. Fifteen cases presented radiologically with an osteolytic lesion with poorly demarcated margins. Four cases presented with well demarcated lesions with additional signs of destruction. Additionally, four cases showed an osteogenic radiological appearance. In the current population sample, metastasis to the oral and maxillofacial region most commonly originated from the breast. CONCLUSION Lesions with poorly demarcated margins with cortical destruction, accompanied by clinical signs of swelling, pain and paraesthesia in the absence of any inflammatory process, should raise suspicion for metastasis. Considering the poor prognosis of these metastatic lesions, the responsibility lies with the clinician to identify these lesions and make appropriate referrals.
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Kirschnick LB, Schuch LF, Cademartori MG, Vasconcelos ACU. Metastasis to the oral and maxillofacial region: A systematic review. Oral Dis 2020; 28:23-32. [DOI: 10.1111/odi.13611] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Revised: 07/24/2020] [Accepted: 07/27/2020] [Indexed: 12/24/2022]
Affiliation(s)
- Laura Borges Kirschnick
- Diagnostic Center for Oral Diseases School of Dentistry Universidade Federal de Pelotas Pelotas Brazil
| | - Lauren Frenzel Schuch
- Department of Oral Diagnosis Piracicaba Dental School Universidade de Campinas Piracicaba Brazil
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Gupta N, Khare A. Isolated Mandibular Metastasis Detected on Staging 18FDG PET/CT Scan in a Case of Carcinoma Urinary Bladder. Indian J Nucl Med 2020; 35:178-180. [PMID: 32351280 PMCID: PMC7182318 DOI: 10.4103/ijnm.ijnm_18_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2020] [Revised: 02/08/2020] [Accepted: 02/10/2020] [Indexed: 11/04/2022] Open
Abstract
Isolated mandibular metastasis is very rare from carcinoma urinary bladder with no locoregional lymph node involvement. Here, we present a case where staging fluorodeoxyglucose - positron emission tomography - computed tomography (FDG PET-CT) scan showed an FDG avid primary lesion in carcinoma urinary bladder with FDG avid erosion in the right mandibular condyle. However, since no pelvic lymph nodes were involved, the mandibular lesion was kept on follow-up and cystoprostatectomy was performed. Follow-up FDG PET-CT scan after 6 months revealed an osteolytic destructive lesion in the mandible with associated soft tissue component and the biopsy confirmed this as metastatic lesion.
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Affiliation(s)
- Nitin Gupta
- Department of Nuclear Medicine, Sir Ganga Ram Hospital, New Delhi, India,Address for correspondence: Dr. Nitin Gupta, Department of Nuclear Medicine, Sir Ganga Ram Hospital, New Delhi - 110 060, India. E-mail:
| | - Abhishek Khare
- Department of Nuclear Medicine and PET/CT, Platinum Imaging Centre, New Delhi, India
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Khoozestani NK, Mosavat F, Shirkhoda M, Sedaghati A. Metastatic papillary thyroid carcinoma of the mandible: Case report and literature review. J Oral Maxillofac Pathol 2019; 23:97-105. [PMID: 30967736 PMCID: PMC6421918 DOI: 10.4103/jomfp.jomfp_106_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
The oral cavity is not a usual site for metastasis including about one percent of all oral tumors. Metastatic papillary thyroid carcinoma (PTC) is uncommon and usually occurs in regional lymph nodes of neck, so mandibular metastasis is a rare event. We present a case with swelling in the right mandible that has been diagnosed metastatic tumor of PTC. The clinical features, radiographic aspect and treatment plan are discussed. Furthermore, a thorough review of literature revealed 77 published cases of metastatic thyroid carcinoma to the oral cavity with their summarized features.
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Affiliation(s)
- Neda Kardouni Khoozestani
- Department of Oral and Maxillofacial Pathology, School of Dentistry, Tehran University of Medical Science, Tehran, Iran
| | - Farzaneh Mosavat
- Department of Oral and Maxillofacial Radiology, School of Dentistry, Tehran University of Medical Science, Tehran, Iran
| | - Mohammad Shirkhoda
- Department of Oncosurgery, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Azin Sedaghati
- Department of Oral and Maxillofacial Radiology, School of Dentistry, Tehran University of Medical Science, Tehran, Iran
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Dutta A, Mukherjee K, Dhara S, Gupta S. Design of porous titanium scaffold for complete mandibular reconstruction: The influence of pore architecture parameters. Comput Biol Med 2019; 108:31-41. [PMID: 31003177 DOI: 10.1016/j.compbiomed.2019.03.004] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2018] [Revised: 03/05/2019] [Accepted: 03/05/2019] [Indexed: 01/16/2023]
Abstract
Patients having a medical history of oral cancer, infectious diseases or trauma are often advised surgical intervention with customized complete mandibular constructs (CMC) made of Titanium (Ti) scaffolds. A numerical framework based on a homogenization technique was developed to investigate the influence of pore architecture parameters on homogenized orthotropic material properties of the scaffolds. A comparative 3D Finite Element (FE) analysis of six CMC models, having homogenized orthotropic material properties, under a mastication cycle, was undertaken to pre-clinically determine the optimal CMC for a patient. Orthotropic material properties of Ti-scaffolds decreased with an increase in the inter-strut distance. Stress and strain distributions of CMC models during right molar bite were investigated. Despite small differences in stress distributions in the 'body' region of CMC models, the overall stress distribution (tensile and compressive) of CMC models (30-32 MPa) were well comparable to that of an intact mandible (34.54 MPa). Higher magnitudes of tensile strains were observed for models with 0.2 mm (9884μɛ) and 0.4 mm strut diameter (SD), both having 0.5 mm inter-strut distance (ID), at articular condyle area, body and symphysis equivalent part of the constructs. The maximum principal tensile strains were higher in the CMC models with 0.5 mm ID as compared to those having 0.3 mm ID. Comparatively, the scaffolds with lesser ID (0.3 mm) resulted in higher stiffness, thereby evoking less principal strains in the CMC models. Moreover, considering the weight of the scaffolds, the CMC models having 0.3 mm ID with 0.2 mm SD and 0.5 mm ID with 0.6 mm SD seemed most appropriate for a patient.
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Affiliation(s)
- Abir Dutta
- Advanced Technology Development Centre, Indian Institute of Technology Kharagpur, Kharagpur, 721 302, West Bengal, India
| | - Kaushik Mukherjee
- Department of Bioengineering, Imperial College London, South Kensington, SW7 2AZ, UK; Department of Mechanical Engineering, Indian Institute of Technology Kharagpur, Kharagpur, 721 302, West Bengal, India
| | - Santanu Dhara
- School of Medical Science and Technology, Indian Institute of Technology Kharagpur, Kharagpur, 721 302, West Bengal, India
| | - Sanjay Gupta
- Department of Mechanical Engineering, Indian Institute of Technology Kharagpur, Kharagpur, 721 302, West Bengal, India.
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Çetin MA, Karakurt SE, Yamur AR, Dere HH. Mandibular metastasis of rectum adenocarcinoma: case report. ACTA ODONTOLOGICA TURCICA 2017. [DOI: 10.17214/gaziaot.325460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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