Discovery of a Poly-metastatic Pulmonary Adenocarcinoma Following the Diagnosis of a Bone Lesion in the Mandible: A Case Report

Nabil Benahmed^1, , Ryma Kabir², Katarina Kontaxis³, Alice Becker⁴ and Nimaat Pertick⁵

¹Resident Stomatology, Oral and Maxillofacial Surgery, University of Montreal Hospital Center (CHUM) – Canada

²Periodontology Departement, Professor, University of Montreal – Canada

³Oral and Maxillofacial Surgery Departement, Professor, University of Montreal – Canada

⁴Oral Surgery Department, Head of Clinic, University Hospital Assistant, Nancy Hospital Center (CHRU Nancy) – France

⁵Oral and Maxillofacial Surgery Department, Chief of Surgery, University of Montreal Hospital Center (CHUM) – Canada

Cite this paper

Nabil Benahmed, Ryma Kabir, Katarina Kontaxis, Alice Becker and Nimaat Pertick. Discovery of a Poly-metastatic Pulmonary Adenocarcinoma Following the Diagnosis of a Bone Lesion in the Mandible: A Case Report. American Journal of Medical Case Reports. 2023; 11(3):63-66. doi: 10.12691/AJMCR-11-3-6

Abstract

Introduction: Metastases of the oral cavity are rare and concern only a tiny part of the neoplasias of the oral cavity. The detection of an atypical lesion should always alert the clinician to the possibility of primary or secondary cancerous involvement. Observation: The case presented here describes a patient presenting to the consultation for pain in the temporomandibular joint. A panoramic X-ray revealed an atypical osteolytic lesion located at the level of the left articular condyle. Additional investigations confirmed the existence of a lytic lesion indicating a metastasis or a primary sarcomatosis type. Complementary examinations made it possible to establish the diagnosis of a poly-metastatic pulmonary adenocarcinoma and to begin the management of the patient who was unaware of her condition. Conclusion: The discovery of an atypical bone lesion should alert the clinician and requires the performance of additional examinations to establish a diagnosis that can condition the survival of a patient.

Keywords

metastasis, mandibular condyle, pulmonary adenocarcinoma

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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