Metastatic Follicular Carcinoma Thyroid Masquerading as a Primary Jaw Tumor

Abstract

Metastatic tumours of the oral cavity are rare constituting approximately one percent of all oral malignancies. These tumors are clinically significant as their appearance may be the first indication of an undiscovered malignancy at a distant primary site or the first evidence of dissemination from a known primary tumor. Thyroid cancer metastasizing to the jaw bones is a rare occurrence and very few cases have been described in literature. We present an additional case which in fact masqueraded as a primary jaw tumor. Metastasis to jaw bones is generally associated with poor prognosis with a majority of the patients dying within 6 months of diagnosis. Thyroid cancers however seem to be an exception to this, resectable solitary jaw bone metastasis from differentiated thyroid cancers is associated with a much better prognosis and therefore should be considered for metastatectomy.

Metastatic papillary thyroid carcinoma of the mandible: Case report and literature review

“…The common symptoms of metastatic tumor to jaws are pain, swelling, tooth mobility, premature loss of teeth, paresthesia, cervical lymphadenopathy and rarely pathologic fractures. [ 16 17 23 ]…”