Erschienen in:
01.03.2012 | Case Report
Condylar metastasis from prostatic carcinoma mimicking temporomandibular disorder: a case report
verfasst von:
Christian Freudlsperger, Ralf Kurth, Matthias K. Werner, Juergen Hoffmann, Siegmar Reinert
Erschienen in:
Oral and Maxillofacial Surgery
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Ausgabe 1/2012
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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.