Prostate cancer is the most common non-cutaneous malignant lesion in males over 70 years of age. Diagnosis in advanced stages of the disease is not exceptional, through metastatic lesions as debut. The most characteristic of these lesions are osseous with osteoblastic behavior, uncommon in maxillary bones. On the other hand, Paget's disease is a chronic metabolic disorder attributed to osteoclast dysfunction. At the craniofacial level, the characteristic affectation is an increase in size, a "cotton flakes" pattern or circumscribed osteoporosis. The fact that this is only located in the mandible is exceptional. A case of Paget's disease of the right hemi-mandible bone is presented in which a metastasis is developed due to prostatic adenocarcinoma.
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