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Metastasis of a Ductal Prostate Adenocarcinoma to the Mandible

2015; Elsevier BV; Volume: 120; Issue: 2 Linguagem: Inglês

10.1016/j.oooo.2015.02.194

2212-4411

Tuanny Lima Rangel, FELIPE SOUZA LIMA ALENCAR, Ruth Tramontani Ramos, Fábio Ramôa Pires, Thiago Moreira Pêssoa, Geraldo Oliveira Silva Júnior, Marília Heffer Cantisano,

Prostate Cancer Treatment and Research

The oral region is an uncommon site for metastatic tumor cell colonization, and the occurrence of such colonization in the oral cavity is usually evidence of systemic disease. Prostate cancer is the leading cancer in males. The most common metastatic sites in patients with prostate cancer are the axial skeleton and local lymph nodes. Rarely has there been a description of prostate cancer metastasis to the stomach, esophagus, small bowel, or rectum. A 57-year-old dark-skinned male presented with swelling of the left cheek in the molar region of the mandible. Clinically, we observed trismus and a hardened tumor, with a radiopaque image and sunburst pattern, of approximately 7 cm. His medical condition revealed prostatic hyperplasia, with a PSA level of 1,480.50 ng/ml. Histopathological examination of a biopsy sample revealed ductal and papillary adenocarcinoma, suggesting prostate cancer. The lesion was confirmed by a urology clinic, and he was therefore referred for oncology treatment.