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Case Reports
, 2011

Toothache: An Unlikely Presentation of Secondary Breast Malignancy

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Case Reports

Toothache: An Unlikely Presentation of Secondary Breast Malignancy

Ashley Walden et al. BMJ Case Rep.

Abstract

An 81-year-old female presented to the maxillo-facial department with a 6-month history of left-sided toothache and upper lip and cheek numbness. She had previously undergone a right mastectomy for breast adenocarcinoma, followed 6 years later by left mastectomy with pneumonectomy for contralateral breast and lung metastases. Following buccal biopsies and MRI of the head and neck, the patient was referred to our head and neck team. The MRI showed a large left maxillary sinus mass and transnasal endoscopic biopsies under general anaesthesia of this confirmed distant breast carcinoma metastasis. The patient was discussed at the Head and Neck Multidisciplinary Team meeting. Further surgical resection was not thought appropriate and the patient has subsequently undergone curative dose radiotherapy to the face. She remains alive with symptom control 8 months following this presentation.

Conflict of interest statement

Competing interests None.

Figures

Figure 1
Figure 1
T1 weighted MRI sinus in the coronal plane: shows left maxillary tumour with pterygopalatine extension and inferior extension to alveolar surface of maxilla.
Figure 2
Figure 2
Reformatted CT sinus scan in the coronal plane: shows left maxillary tumour with lateral extension destroying the lateral antral wall.

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