ABSTRACT
PURPOSE: To highlight the hemorrhagic character of metastatic hepatocellular carcinoma. PATIENT AND METHOD: A case report of a patient with mandibular metastatic hepatocellular carcinoma, who had severe postbiopsy hemorrhagic episodes, and literature review is presented. CONCLUSIONS: Mandibular metastatic hepatocellular carcinoma is a hemorrhagic tumor because of its hypervascular nature. Any rapidly enlarging swelling with ill-defined mandibular destruction suggestive of malignancy should be considered for metastatic hepatocellular carcinoma. Only a needle biopsy should be attempted in view of the hemorrhagic nature of the tumor. Palliative radiotherapy can be useful for the control of local expansile symptoms of the tumor and because of its possible role in the prevention of hemorrhage.
Subject(s)
Carcinoma, Hepatocellular/complications , Carcinoma, Hepatocellular/secondary , Liver Neoplasms/pathology , Mandibular Neoplasms/complications , Mandibular Neoplasms/secondary , Oral Hemorrhage/etiology , Aged , Aged, 80 and over , Biopsy/adverse effects , Carcinoma, Hepatocellular/radiotherapy , Hemostatic Techniques , Humans , Liver Neoplasms/radiotherapy , Male , Mandibular Neoplasms/radiotherapyABSTRACT
The case reported illustrates a rare but interesting condition. Early treatment is the most important factor in decreasing the high morbidity associated with this infection. Aspiration is a key diagnostic tool for early diagnosis. Surgical intervention should be individually assessed and active physiotherapy is a must to resume normal function of the joint.
Subject(s)
Arthritis, Infectious/diagnosis , Temporomandibular Joint Disorders/diagnosis , Acute Disease , Adult , Arthritis, Infectious/therapy , Arthrography , Combined Modality Therapy , Drug Therapy, Combination , Humans , Male , Physical Therapy Modalities , Radiography, Panoramic , Suction , Temporomandibular Joint/diagnostic imaging , Temporomandibular Joint/surgery , Temporomandibular Joint Disorders/therapyABSTRACT
A case of diffuse, large-cell non-Hodgkin's lymphoma presenting as pericoronitis in the oral cavity is described. The diagnostic pitfalls are briefly discussed.
Subject(s)
Gingival Neoplasms/pathology , Lymphoma, Large B-Cell, Diffuse/pathology , Pericoronitis/pathology , Actinomycosis/pathology , Child , Diagnosis, Differential , Humans , Male , Pericoronitis/microbiologyABSTRACT
Primary hyperparathyroidism is due to benign or malignant neoplasia of one or more parathyroid glands, causing a wide spread osteoclastic resorption of bone with fibrous tissue replacement. A case of primary hyperparathyroidism involving mandible of a 16 year old Saudi female is being reported. The patient was terated by surgical intervention. This case supports the opinion that negative laboratory tests viz., calcium and phosphorus levels do not exclude the existence of hyperparathyroidism (normocalcaemic type).
