Condylar metastasis. Review of the literature and report of a case

Metastases in the mandibular condyle are rare. A survey of the literature showed that only 23 of 69 selected cases qualified under the criteria of Meyer and Shklar. A 48-year-old white male suffering from a previously operated lung carcinoma was referred due to pain and discomfort in the left TMJ. A...

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Published in:Mund-, Kiefer- und Gesichtschirurgie : MKG Kiefer- und Gesichtschirurgie : MKG, 2005-09, Vol.9 (5), p.336-340
Main Authors: Kaufmann, M G, Perren, A, Grätz, K W, Eyrich, G K H
Format: Article
Language:ger
Subjects:
Bone Marrow - pathology
Carcinoma, Large Cell - diagnostic imaging
Carcinoma, Large Cell - pathology
Carcinoma, Large Cell - secondary
Carcinoma, Large Cell - surgery
Dentistry
Humans
Lung Neoplasms - diagnostic imaging
Lung Neoplasms - pathology
Male
Mandibular Condyle - diagnostic imaging
Mandibular Condyle - pathology
Mandibular Neoplasms - diagnostic imaging
Mandibular Neoplasms - pathology
Mandibular Neoplasms - secondary
Middle Aged
Neoplasm Invasiveness
Neoplasm Staging
Radiography, Panoramic
Tomography, X-Ray Computed
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Summary:Metastases in the mandibular condyle are rare. A survey of the literature showed that only 23 of 69 selected cases qualified under the criteria of Meyer and Shklar. A 48-year-old white male suffering from a previously operated lung carcinoma was referred due to pain and discomfort in the left TMJ. A solitary condylar metastasis of the mandible was revealed. Because of diffuse tumorous infiltration into periarticular tissue, irradiation treatment was performed. During the long-term follow-up growth of additional skeletal metastases occurred. The course of condylar metastases in general is similar to other metastases involving the jaw. Breast cancer as the primary tumor is most frequent, followed by lung cancer. There are no specific clinical or radiological parameters leading to diagnosis. The clinician should take a potential metastasis into account when dealing with TMJ complaints, radiological oddities, and medical history of malignant tumors. For proper treatment planning, diagnosis should be based on histology. Since the diagnosis of metastasis is usually made at an advanced stage of disease, therapy will be mainly intended as palliative.
ISSN:1432-9417
DOI:10.1007/s10006-005-0623-7