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Mandibular metastasis from a pulmonary squamous cell carcinoma
Vikas Dhupar1, Francis Akkara1, Rahul D Kamat1
1Department of Oral and Maxillofacial Surgery, Goa Dental College and Hospital, Bambolim, Goa, India.
Metastasis to the jaw from lung cancer is rare, often mimicking common oral conditions. Early consideration is crucial for diagnosis, especially in smokers with new paresthesia.
Area of Science:
- Oral oncology
- Pathology
- Dental surgery
Background:
- Metastatic tumors to the jaws are rare, comprising <1% of oral malignancies.
- Lung carcinoma metastasis to the mandible is exceptionally uncommon.
Observation:
- These rare metastases can mimic common oral pathologies like cysts or infections.
- Diagnosis is challenging due to the varied presentation.
- Consider metastasis in smokers with sudden onset paresthesia.
Findings:
- Metastatic pulmonary carcinoma to the mandible presents diagnostic challenges.
- Mimics common odontogenic cysts, osteomyelitis, and space infections.
Implications:
- Highlights the need to include metastatic disease in differential diagnoses for jaw lesions.
- Emphasizes careful patient history, especially smoking status and neurological symptoms.
- Lack of consensus on management underscores the need for further research and case studies.
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