Isolated mandibular metastases. Therapeutic strategy. Apropos of 7 cases
Germain, M.A.; Marandas, P.; Leridant, A.M.; Julieron, M.; Schlumberger, M.; Mamelle, G.; Domenge, C.
Chirurgie; Memoires de l'Academie de Chirurgie 122(10): 549-551
1997
ISSN/ISBN: 0001-4001 PMID: 9616904 Document Number: 471159
Among the mandibular tumours, the secondary malignant tumours are uncommon. We relate 7 cases observed between 1977 and 1995. Two cases have revealed the original cancer (rectum, prostate). The five other cases were discovered during the evolution of the original cancer (colon, lung, kidney, thyroid, breast). These 7 mandibular metastases were isolated. The treatment included a mandibular resection in 6 cases. In one of these cases, the reconstruction was performed with a free vascularized fibular transplant with success. Among the seven cases, two patients are alive, at the present time, with a mean follow-up of 3 years. This justifies a curative treatment.