Rare case of Prostate Cancer presenting as Oral Swelling: A Report
Australia: A rare and alarming case of prostate cancer presenting as an oral swelling emphasizes the importance of vigilance in dental practice, particularly when routine dental treatments do not yield expected outcomes. The case was reported by S Beaumont, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia, and colleagues in the Australian Dental Journal.
The case concerns a 76-year-old man, otherwise in good health, who sought dental care for a mobile lower left premolar. Following the tooth's extraction, the site developed a rapidly expanding swelling over two months, prompting further investigation. A CT scan revealed a large destructive lesion in the mandible, leading to a histopathological diagnosis of metastatic prostate adenocarcinoma.
Metastases to the jaw are uncommon and often indicate widespread disease, marking a poor prognosis. Such cases typically present with varied clinical features, including swelling in the oral soft tissues, adjacent subcutaneous areas, or jawbones. These lesions often mimic common dental pathologies, posing diagnostic challenges for dental practitioners. Radiographically, metastatic lesions usually appear as expansive, lytic areas with irregular borders, adding another layer of complexity to early detection.
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