Unusual presentation of pulmonary adenocarcinoma metastases in the mandibular condyle: A case report

Int J Surg Case Rep. 2023 Dec:113:109058. doi: 10.1016/j.ijscr.2023.109058. Epub 2023 Nov 16.

Abstract

Introduction: Mandibular bone metastases should be suspected in all patients with temporomandibular joint disorder symptoms and lung cancer history. The purpose of this report is to present a case of metastasis to the mandibular condyle following pulmonary adenocarcinoma.

Case presentation: In December 2020, a 71-year-old patient was evaluated by the Department of Maxillofacial Surgery for the presence of a large osteolytic lesion in the left mandibular condyle. There were no changes to the face or occlusion, and mandibular movements were preserved. After surgical removal, histology revealed pulmonary adenocarcinoma metastasis.

Discussion: To date, only 7 cases of condylar metastases are described by lung cancer. This pathology's clinical and radiological features are almost always shaded and not specific.

Conclusion: This study also focuses on rare conditions, such as metastases to the mandibular condyle. It also stresses the importance of a multidisciplinary approach both in the diagnostic and therapeutic process.

Keywords: Condylar metastases; Maxillofacial Surgery; Surgical Oncology; TMD disorders.

Publication types

  • Case Reports