An Unusual Case of Mandibular Squamous Cell Carcinoma in Intimacy with an Impacted Wisdom Tooth
Squamous cell carcinoma is the most common head and neck malignancy. It can occur in the mandible or maxilla without a preexisting oral mucosal lesion. Often, the clinical and radiographic presentation of SCC directs the clinician to favour malignancy over other pathological conditions. However, SCC...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2019/8360357 |
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| author | Johnson Cheung Ayham Al Afif Martin Joseph Bullock Chad Robertson Robert Hart Reginald Goodday |
| author_facet | Johnson Cheung Ayham Al Afif Martin Joseph Bullock Chad Robertson Robert Hart Reginald Goodday |
| author_sort | Johnson Cheung |
| collection | DOAJ |
| description | Squamous cell carcinoma is the most common head and neck malignancy. It can occur in the mandible or maxilla without a preexisting oral mucosal lesion. Often, the clinical and radiographic presentation of SCC directs the clinician to favour malignancy over other pathological conditions. However, SCC may also mimic an infectious condition and therefore can pose a diagnostic challenge even for the most experienced clinicians. Herein, we report a case of mandibular squamous cell carcinoma in a 53-year-old male who presented with symptoms of right facial swelling, trismus, pain, and right-sided lip paresthesia. The patient underwent a surgical removal of the presumed infected third molar of the right mandible, but histopathological analysis of the associated soft tissue unexpectedly yielded squamous cell carcinoma. Given the biopsy-proven diagnosis, the patient received a mandibular resection of the tumor followed by primary reconstruction with a fibular free flap. Patients presenting with symptoms mimicking odontogenic infections should receive vigilant attention by clinicians with regard to the disease history, clinical signs, radiographic evidence, and decision for histopathological analysis. This is especially true in the context of impacted dentition, where malignancy must be considered when formulating a differential diagnosis. |
| format | Article |
| id | doaj-art-1337ca1fd98c42489dda7dccc6270171 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-1337ca1fd98c42489dda7dccc62701712025-02-03T06:11:33ZengWileyCase Reports in Surgery2090-69002090-69192019-01-01201910.1155/2019/83603578360357An Unusual Case of Mandibular Squamous Cell Carcinoma in Intimacy with an Impacted Wisdom ToothJohnson Cheung0Ayham Al Afif1Martin Joseph Bullock2Chad Robertson3Robert Hart4Reginald Goodday5Department of Oral and Maxillofacial Surgery, Dalhousie University, 5981 University Avenue, Room 5132, P.O. Box 15000, Halifax, Nova Scotia, B3H 4R2, CanadaDivision of Otolaryngology-Head and Neck Surgery, Dalhousie University, QEII Health Sciences Centre 3rd floor Dickson Building, 5820 University Avenue, Halifax, Nova Scotia, B3H 1Y9, CanadaDepartment of Pathology, Dalhousie University, Sir Charles Tupper Medical Building, Room 11B, 5850 College Street, PO Box 15000, Halifax, Nova Scotia, B3H 4R2, CanadaDepartment of Oral and Maxillofacial Surgery, Dalhousie University, 5981 University Avenue, Room 5132, P.O. Box 15000, Halifax, Nova Scotia, B3H 4R2, CanadaDivision of Otolaryngology-Head and Neck Surgery, Dalhousie University, QEII Health Sciences Centre 3rd floor Dickson Building, 5820 University Avenue, Halifax, Nova Scotia, B3H 1Y9, CanadaDepartment of Oral and Maxillofacial Surgery, Dalhousie University, 5981 University Avenue, Room 5132, P.O. Box 15000, Halifax, Nova Scotia, B3H 4R2, CanadaSquamous cell carcinoma is the most common head and neck malignancy. It can occur in the mandible or maxilla without a preexisting oral mucosal lesion. Often, the clinical and radiographic presentation of SCC directs the clinician to favour malignancy over other pathological conditions. However, SCC may also mimic an infectious condition and therefore can pose a diagnostic challenge even for the most experienced clinicians. Herein, we report a case of mandibular squamous cell carcinoma in a 53-year-old male who presented with symptoms of right facial swelling, trismus, pain, and right-sided lip paresthesia. The patient underwent a surgical removal of the presumed infected third molar of the right mandible, but histopathological analysis of the associated soft tissue unexpectedly yielded squamous cell carcinoma. Given the biopsy-proven diagnosis, the patient received a mandibular resection of the tumor followed by primary reconstruction with a fibular free flap. Patients presenting with symptoms mimicking odontogenic infections should receive vigilant attention by clinicians with regard to the disease history, clinical signs, radiographic evidence, and decision for histopathological analysis. This is especially true in the context of impacted dentition, where malignancy must be considered when formulating a differential diagnosis.http://dx.doi.org/10.1155/2019/8360357 |
| spellingShingle | Johnson Cheung Ayham Al Afif Martin Joseph Bullock Chad Robertson Robert Hart Reginald Goodday An Unusual Case of Mandibular Squamous Cell Carcinoma in Intimacy with an Impacted Wisdom Tooth Case Reports in Surgery |
| title | An Unusual Case of Mandibular Squamous Cell Carcinoma in Intimacy with an Impacted Wisdom Tooth |
| title_full | An Unusual Case of Mandibular Squamous Cell Carcinoma in Intimacy with an Impacted Wisdom Tooth |
| title_fullStr | An Unusual Case of Mandibular Squamous Cell Carcinoma in Intimacy with an Impacted Wisdom Tooth |
| title_full_unstemmed | An Unusual Case of Mandibular Squamous Cell Carcinoma in Intimacy with an Impacted Wisdom Tooth |
| title_short | An Unusual Case of Mandibular Squamous Cell Carcinoma in Intimacy with an Impacted Wisdom Tooth |
| title_sort | unusual case of mandibular squamous cell carcinoma in intimacy with an impacted wisdom tooth |
| url | http://dx.doi.org/10.1155/2019/8360357 |
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