Article: Volume 41 Number 3 Page 230 - April 2014

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  Dent Update 2014; 41: 230-235

Oral and Maxillofacial Surgery:  Metastatic Involvement of the Maxillary Antrum from an Uncommon Source

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Abstract: Metastatic involvement of the jawbones is uncommon, particularly in the maxilla. Case reports of such metastases from renal cell primaries are few, making a consensus on treatment difficult to establish. We present a case of metastatic involvement of the maxilla two years following a nephrectomy for renal cell carcinoma. The case exemplifies the broad range of symptoms attributable to metastases in the maxilla and the management dilemmas.

Clinical relevance: The case highlights the role of practitioners in primary dental care in identifying the potential for such pathology based on clinical and radiographic features.

Author notes: Rokhsareh Elledge, BDS, MBChB, MFDS RCS(Eng), GP ST1, Moseley Hall Hospital, Alcester Road, Birmingham B13 8JL, Ross OC Elledge, BChD(Hons), MBChB(Hons), PGDipMedEd, MFDS RCPS(Glasg), MRCS MAcadMedEd, FHEA, ST3 in Oral and Maxillofacial Surgery, Worcestershire Royal Hospital, Charles Hastings Way, Worcester WR5 1DD and Diana Raskauskiene, MD, PhD, Consultant Physician, Department of Diabetes and Endocrinology, Walsall Manor Hospital, Moat Road, Walsall WS2 9PS, West Midlands, UK.

Objective: To assist recognition of the possible clinical features of metastatic tumours involving the maxillary antrum, enabling appropriate investigation and timely referral to specialist care.

ADG