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VOLUME 4 , ISSUE 2 ( Vol. 4, 2016 ) > List of Articles

CASE REPORT

Metastasis of breast carcinoma in the mandible presenting histologically as an Invasive Ductal Carcinoma: A Case Report

Farooque Iqbal Siddiqui, Dwarkadas G. Adwani, Milind V. Naphade, Rajender Singh Arora

Keywords : Metastatic breast carcinoma, Numb-chin syndrome, Mandible

Citation Information : Siddiqui FI, Adwani DG, Naphade MV, Arora RS. Metastasis of breast carcinoma in the mandible presenting histologically as an Invasive Ductal Carcinoma: A Case Report. Arch Craniofac Sci 2016; 4 (2):10-13.

DOI: 10.5005/ACOFS-11029-04203

License: CC BY-NC 4.0

Published Online: 30-08-2016

Copyright Statement:  Copyright © 2016; BPH.


Abstract

INTRODUCTION: Malignant tumors of the jaws and oral tissues which are metastatic are not common, comprises 1% of malignancies of the oral cavity. Metastatic malignancies in maxillofacial region occur in the mandible more frequently than in the maxilla, and rarely in soft tissues. The most frequent primary sites of malignancy with the potential to metastize in the mandible are, in decreasing order, the breast, lung, kidney, thyroid, prostate, colon, stomach, skin, testicle, bladder, liver, uterus, and ovary. The purpose of this study is to present diagnosis and treatment planning of a rare case of metastatic invasive ductal carcinoma involving angle and ramus of the mandible, in a 50 years old female. CASE PRESENTATION: The patient was a 50 year old female who came with the chief complaint of pain and swelling over the right side of the face, and paresthesia and numbness of her lower lip. Intraoral examination revealed an ulceroproliferative growth in mandibular right buccal vestibule. Radiographic finding showed irregular bony destruction. Histopathologic features were suggestive of ductal carcinoma. Clinicopathologic correlation was suggestive of metastatic breast carcinoma of mandible. CONCLUSION: This case shows importance of taking complete case history with special attention on past medical history in spite of limitation of clinical and radiological evidence. One must notice the typical symptoms like paresthesia of the lip and chin. Histological examination and past medical history is necessary for confirming the diagnosis of such matastasis


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