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Case Report
 
Numb chin in thyroid carcinoma: A rare clinical presentation
Jitendra V Kalburge1, Yogesh K Kini2, Vaishali J Kalburge3
1Professor, Dept. of Oral & Maxillofacial Pathology, Rural Dental College, Pravara Institute of Medical Sciences, Loni.
2Professor, Dept. of Oral & Maxillofacial Surgery, Rural Dental College, Pravara Institute of Medical Sciences, Loni.
3Senior lecturer, Dept. of Conservative Dentistry & Endodontics, Rural Dental College, Pravara Institute of Medical Sciences, Loni.

doi:10.5348/ijcri-2012-11-216-CR-9

Address correspondence to:
Dr. Jitendra Kalburge
Professor and Head, Dept. of Oral & Maxillofacial Pathology
Govt. Dental College & Hospital, Jamnagar-361008
Gujrat
India
Phone: 9604173884

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How to cite this article:
Kalburge JV, Kini YK, Kalburge VJ. Numb chin in thyroid carcinoma: A rare clinical presentation. International Journal of Case Reports and Images 2012;3(11):28–31.


Abstract
Introduction: Metastasis to the oral region from a malignant tumor elsewhere in the body is an uncommon but clinically important finding, because it may be the first indication that the patient has a distant primary tumor.
Case Report: A 65-year-old female presented with numb chin secondary to metastasis from thyroid follicular carcinoma is discussed. The lesion was located in the mandible on the right side. The diagnosis was solely based on histopathological examination of the tissue taken from the lesion in the mandible. This was the first evidence of the metastatic tumor in the jaws from thyroid follicular carcinoma in this patient.
Conclusion: Although metastatic lesions within the mandible can be asymptomatic, most patients experience some degree of discomfort or pain, which is often followed by loosening of teeth or unilateral paresthesia or anesthesia of the lower lip or chin. The development of these symptoms should alert the clinician to the potential presence of metastatic disease.

Key Words: Metastasis, Follicular carcinoma, Thyroid gland, Mandible


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Author Contributions:
Jitendra V Kalburge – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Yogesh K Kini – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Vaishali J Kalburge – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission:
The corresponding author is the guarantor of submission.
Source of support:
None
Conflict of interest:
Authors declare no conflict of interest.
Copyright:
© Jitendra V Kalburge et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)