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Condylar metastasis from prostatic carcinoma mimicking temporomandibular disorder: a case report

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Abstract

Background

Although metastatic carcinoma is the most common malignant tumor of the bone, less than 1% of all metastatic bone lesions are presented in the maxillofacial area. As the mandibular body is the most frequent localization, metastasis to the mandibular condyle is extremely rare.

Case report

This report describes a rare case of prostate carcinoma metastatic to the mandibular condyle in a 75-year old man, who was referred because of persistent pain in the temporomandibular joint (TMJ) region and a limitation of opening, initially misdiagnosed and treated as temporomandibular disorder (TMD). Histopathological examination confirmed the suspected metastasis of prostate carcinoma and local radiation therapy was performed.

Discussion

TMD represent a diagnostic challenge and sometimes an interdisciplinary approach is required to prevent a delay of the correct treatment. Metastatic cancer should be included in the differential diagnosis of TMD, especially in patients with a malignant disease.

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Conflict of interest

The authors declare that there is no conflict of interest.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, University Hospital Tuebingen, Osianderstrasse 2-8, 72076, Tuebingen, Germany

    Christian Freudlsperger & Siegmar Reinert

  2. Department of Pathology, University Hospital Tuebingen, Tuebingen, Germany

    Ralf Kurth

  3. Department of Diagnostic and Interventional Radiology, University Hospital, Tuebingen, Germany

    Matthias K. Werner

  4. Department of Oral and Maxillofacial Surgery, University Hospital Heidelberg, Heidelberg, Germany

    Juergen Hoffmann

Authors
  1. Christian Freudlsperger
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  2. Ralf Kurth
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  3. Matthias K. Werner
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  4. Juergen Hoffmann
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  5. Siegmar Reinert
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Corresponding author

Correspondence to Christian Freudlsperger.

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Freudlsperger, C., Kurth, R., Werner, M.K. et al. Condylar metastasis from prostatic carcinoma mimicking temporomandibular disorder: a case report. Oral Maxillofac Surg 16, 79–82 (2012). https://doi.org/10.1007/s10006-010-0256-3

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  • DOI: https://doi.org/10.1007/s10006-010-0256-3

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