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A Rare Case of Metastasis to the Mandible from the Thyroid Gland: a Case Report and Literature Review

  • Shirish PatilEmail author
  • Deepak Janardhan
  • Sandeep Suresh
  • Shaji Thomas
Case Report

Case Report

A 56-year-old female with multiple comorbidities presented with a swelling in the lower jaw (Figs. 1 and 2). On examination, it was a hard 6 × 5 cm swelling in the right mandible, 3 cm from the symphyses and posteriorly involving the angle of the mandible. The oral cavity did not show any evidence of disease. Also, a 3 × 2 cm nodule in the right lobe and 1 × 1 cm nodule in the left lobe of the thyroid were palpated without cervical lymphadenopathy. Laryngoscopy revealed both the cords to be mobile. Fine-needle aspiration cytology revealed a Bethedsa 1, i.e., few follicular cells. A trucut biopsy was undertaken from the mandibular swelling, which revealed a metastatic lesion from the thyroid which was positive for thyroglobulin and CKT. A bone scan of Tc-99 was done as part of the metastatic evaluation and showed an increased uptake in the right body of the mandible. Contrast-enhanced CT neck showed a 2.8 × 2.9 × 1.6 calcific nodule in the right lobe of the thyroid, a...

Notes

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Copyright information

© Indian Association of Surgical Oncology 2019

Authors and Affiliations

  1. 1.Head and Neck OncosurgeryRegional Cancer CentreTrivandrumIndia
  2. 2.Dept. of Surgical OncologyRegional Cancer CentreTrivandrumIndia
  3. 3.Assistant prof , Head and Neck Oncosurgery, Regional Cancer CentreTrivandrumIndia
  4. 4.FellowHead and Neck Oncosurgery, Regional Cancer CentreTrivandrumIndia

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