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Mandibular metastases from follicular carcinoma of the thyroid gland: a case report

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Abstract

A case of metastatic thyroid carcinoma near the left mandibular ramus with a cyst-like appearance on rotational panoramic radiographs is reported. A 55-year-old woman complained of a continuous sense of incongruity for 3–4 years since extraction of the left mandibular third molar. The lesion, with apparent gingival swelling around the left second molar, was painless and was cyst-like in appearance on plain radiographs. On the basis of the radiological findings, a benign odontogenic tumor was suspected, but computed tomography (CT) showed destruction of the lingual cortical bone with soft tissue invasion to the masticator space. The final histopathological diagnosis was metastatic follicular carcinoma of the thyroid gland. When investigating cyst-like radiolucent lesions with thick sclerotic margins and irregular areas on plain radiographs, we recommend using CT to evaluate the effect of the lesion on cortical bone.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Radiology, Dental Research Center, Nihon University School of Dentistry, 1-8-13 Kanda-Surugadai, Chiyoda-ku, Tokyo, 101-8310, Japan

    Masao Araki & Kazuya Honda

  2. First Department of Oral and Maxillofacial Surgery, Dental Research Center, Nihon University School of Dentistry, Tokyo, Japan

    Satoshi Nishimura, Shinkichi Iwanari & Hidero Ohki

  3. Department of Pathology, Dental Research Center, Nihon University School of Dentistry, Tokyo, Japan

    Akihito Sawada, Naoyuki Matsumoto & Kazuo Komiyama

  4. Advanced Dental Treatment, Dental Research Center, Nihon University School of Dentistry, Tokyo, Japan

    Masao Araki & Kazuya Honda

  5. Division of Bio-defence, Dental Research Center, Nihon University School of Dentistry, Tokyo, Japan

    Satoshi Nishimura, Shinkichi Iwanari, Naoyuki Matsumoto, Hidero Ohki & Kazuo Komiyama

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  1. Masao Araki
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  2. Satoshi Nishimura
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  3. Shinkichi Iwanari
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  4. Akihito Sawada
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  5. Naoyuki Matsumoto
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  6. Kazuya Honda
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  7. Hidero Ohki
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  8. Kazuo Komiyama
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Correspondence to Masao Araki.

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Araki, M., Nishimura, S., Iwanari, S. et al. Mandibular metastases from follicular carcinoma of the thyroid gland: a case report. Oral Radiol 24, 85–89 (2008). https://doi.org/10.1007/s11282-008-0081-7

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  • DOI: https://doi.org/10.1007/s11282-008-0081-7

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