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Lung metastasis, an incidental finding in maxilla - A case report
Sandhya Tamgadge1, Treville Pereira1, Sandeep Kale1
1Department of Oral and Maxillofacial Pathology and Microbiology, D. Y Patil Deemed to be University, School of Dentistry, Nerul, Navi Mumbai, Maharashtra, India.
Lung cancer can metastasize to the jaw, presenting as an asymptomatic lesion. Early oral examination is crucial for detecting these late-stage metastatic jaw bone lesions.
Area of Science:
- Oncology
- Oral Pathology
- Radiology
Background:
- Metastasis represents the spread of cancer from its primary site to other parts of the body.
- Lung cancer is a leading cause of cancer worldwide, with a significant potential for distant metastasis.
- Jaw bone metastases, while less common than other metastatic sites, can be a presenting sign of advanced malignancy.
Observation:
- This case report details an asymptomatic lesion discovered in the maxilla.
- Initial clinical examination revealed insignificant findings, masking the underlying pathology.
- Radiographic and histopathological evaluation confirmed the lesion as metastatic in origin.
Findings:
- The asymptomatic jaw lesion was diagnosed as a metastasis from a primary lung carcinoma.
- Unlike the more common mandibular metastasis from lung cancer, this lesion occurred in the maxilla.
- The presence of metastasis in the jaw bones typically indicates a later stage of the primary cancer.
Implications:
- This case underscores the importance of thorough oral examinations in patients with suspected or known cancer.
- Metastasis to the jaw, even with subtle clinical signs, should be considered in the differential diagnosis of oral lesions.
- Early detection of jaw metastases can prompt further investigation and potentially impact treatment strategies for advanced lung cancer.
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