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  • Rare case of Prostate...

Rare case of Prostate Cancer presenting as Oral Swelling: A Report

Written By : Medha Baranwal |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2025-01-10T06:00:33+05:30  |  Updated On 10 Jan 2025 11:18 AM IST
Rare case of Prostate Cancer presenting as Oral Swelling: A Report
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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.

This case serves as a stark reminder for dental professionals to maintain a high index of suspicion when dealing with unresolved or atypical dental conditions, especially in older patients. Prolonged swelling, gingival or bone lesions unexplained by dental causes, and wounds that fail to heal after extractions are key red flags requiring prompt referral and investigation.

The dentist's role in recognizing oral systemic conditions cannot be overstated. In this instance, the identification of a metastatic lesion in the jaw facilitated timely diagnosis of the underlying prostate cancer. Early detection and referral are crucial in initiating cancer treatment and potentially improving patient outcomes.

As life expectancy increases and the incidence of age-related diseases such as cancer rises, dental practitioners must remain aware of the potential for malignancies to mimic common dental issues. This case underscores the need for continued education and interdisciplinary collaboration to address the diagnostic challenges posed by metastatic diseases presenting in the oral cavity.

The case highlights the importance of thorough clinical examination and the necessity of maintaining a broad differential diagnosis. It serves as a critical reminder that unexplained oral pathologies in older patients could be the first sign of a serious underlying condition.

Reference:

Beaumont, S., Cavanagh, K., Angel, C., & Choong, K. Prostate cancer presenting as an oral swelling—A case report. Australian Dental Journal. https://doi.org/10.1111/adj.13051


Australian Dental Journalprostate canceroral swelling
Source : Australian Dental Journal
Medha Baranwal
Medha Baranwal

    MSc. Biotechnology

    Dr. Kamal Kant Kohli
    Dr. Kamal Kant Kohli

    Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751

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