Mandibular Metastasis of Thyroid Carcinoma: A Case Report
Identifieur interne : 000125 ( Pmc/Curation ); précédent : 000124; suivant : 000126Mandibular Metastasis of Thyroid Carcinoma: A Case Report
Auteurs : Lavanya C ; Ranganathan K ; Veerabahu MSource :
- Journal of Clinical and Diagnostic Research : JCDR [ 2249-782X ] ; 2014.
Abstract
Metastatic carcinomas to the jaw bones are uncommon and comprise to about 1% of all malignant oral neoplasms. It may be the first indication of an unknown malignancy from a distant primary site which is usually associated with poor prognosis. We report a rare case of thyroid carcinoma metastatic to the mandible in a 76-year-old elderly male patient in which the lesion was asymptomatic. Microscopic examination revealed a tumour structure consisting of cords and islands of infiltrating epithelium. The immunohistochemical marker, thyroid transcription factor -1 was done which showed a positive staining by the follicular cells. The tumour was diagnosed as metastatic follicular thyroid carcinoma. It should be emphasized that histopathological diagnosis along with panel of markers play an important role in diagnosing the site of origin of bone metastasis and these lesions should be included in the differential diagnosis of asymptomatic jaw lesions.
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DOI: 10.7860/JCDR/2014/9079.4588
PubMed: 25177651
PubMed Central: 4149157
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<author><name sortKey="C, Lavanya" sort="C, Lavanya" uniqKey="C L" first="Lavanya" last="C">Lavanya C</name>
<affiliation><nlm:aff id="aff1">Senior lecturer, Department of Oral and Maxillofacial Pathology,<institution>Ragas Dental College and Hospital</institution>
,<addr-line>Chennai, India</addr-line>
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<author><name sortKey="K, Ranganathan" sort="K, Ranganathan" uniqKey="K R" first="Ranganathan" last="K">Ranganathan K</name>
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<series><title level="j">Journal of Clinical and Diagnostic Research : JCDR</title>
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<front><div type="abstract" xml:lang="en"><p>Metastatic carcinomas to the jaw bones are uncommon and comprise to about 1% of all malignant oral neoplasms. It may be the first indication of an unknown malignancy from a distant primary site which is usually associated with poor prognosis. We report a rare case of thyroid carcinoma metastatic to the mandible in a 76-year-old elderly male patient in which the lesion was asymptomatic. Microscopic examination revealed a tumour structure consisting of cords and islands of infiltrating epithelium. The immunohistochemical marker, thyroid transcription factor -1 was done which showed a positive staining by the follicular cells. The tumour was diagnosed as metastatic follicular thyroid carcinoma. It should be emphasized that histopathological diagnosis along with panel of markers play an important role in diagnosing the site of origin of bone metastasis and these lesions should be included in the differential diagnosis of asymptomatic jaw lesions.</p>
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<pmc article-type="case-report"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Clin Diagn Res</journal-id>
<journal-id journal-id-type="iso-abbrev">J Clin Diagn Res</journal-id>
<journal-id journal-id-type="hwp">Journal of Clinical and Diagnostic Research</journal-id>
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<issn pub-type="epub">0973-709X</issn>
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<publisher-loc>Delhi, India</publisher-loc>
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<article-id pub-id-type="doi">10.7860/JCDR/2014/9079.4588</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Dentistry</subject>
<subj-group subj-group-type="heading"><subject>Dental Case Report</subject>
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<title-group><article-title>Mandibular Metastasis of Thyroid Carcinoma: A Case Report</article-title>
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<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>C</surname>
<given-names>Lavanya</given-names>
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<xref ref-type="aff" rid="aff1">1</xref>
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Senior lecturer, Department of Oral and Maxillofacial Pathology,<institution>Ragas Dental College and Hospital</institution>
,<addr-line>Chennai, India</addr-line>
.</aff>
<aff id="aff2"><label>2</label>
Head of the Department, Department of Oral and Maxillofacial Pathology,<institution>Ragas Dental College and Hospital</institution>
,<addr-line>Chennai, India</addr-line>
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<aff id="aff3"><label>3</label>
Head of the Department, Department of Oral and Maxillofacial Surgery,<institution>Ragas Dental College and Hospital</institution>
,<addr-line>Chennai, India</addr-line>
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<author-notes><corresp id="cor1">NAME, ADDRESS, E-MAIL ID OF THE CORRESPONDING AUTHOR: Dr. Lavanya.C, F-2,Kumanan Apts, I Avenue, Ashok Nagar, Chennai -600083, India. E-mail : <email>lavanyac2210@yahoo.com</email>
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<pub-date pub-type="ppub"><month>7</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub"><day>20</day>
<month>7</month>
<year>2014</year>
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<volume>8</volume>
<issue>7</issue>
<fpage>ZD15</fpage>
<lpage>ZD16</lpage>
<history><date date-type="received"><day>25</day>
<month>3</month>
<year>2014</year>
</date>
<date date-type="rev-request"><day>11</day>
<month>5</month>
<year>2014</year>
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<date date-type="accepted"><day>19</day>
<month>6</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>© 2014 Journal of Clinical and Diagnostic Research</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<abstract><p>Metastatic carcinomas to the jaw bones are uncommon and comprise to about 1% of all malignant oral neoplasms. It may be the first indication of an unknown malignancy from a distant primary site which is usually associated with poor prognosis. We report a rare case of thyroid carcinoma metastatic to the mandible in a 76-year-old elderly male patient in which the lesion was asymptomatic. Microscopic examination revealed a tumour structure consisting of cords and islands of infiltrating epithelium. The immunohistochemical marker, thyroid transcription factor -1 was done which showed a positive staining by the follicular cells. The tumour was diagnosed as metastatic follicular thyroid carcinoma. It should be emphasized that histopathological diagnosis along with panel of markers play an important role in diagnosing the site of origin of bone metastasis and these lesions should be included in the differential diagnosis of asymptomatic jaw lesions.</p>
</abstract>
<kwd-group><kwd>Mandible</kwd>
<kwd>Metastasis</kwd>
<kwd>Thyroid carcinoma</kwd>
</kwd-group>
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