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  • Title: Condylar metastasis from prostatic carcinoma mimicking temporomandibular disorder: a case report.
    Author: Freudlsperger C, Kurth R, Werner MK, Hoffmann J, Reinert S.
    Journal: Oral Maxillofac Surg; 2012 Mar; 16(1):79-82. PubMed ID: 21125304.
    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.
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