title: Hepatocellular carcinoma metastatic to the mandible.
abstract: A case of hepatocellular carcinoma metastatic to the mandible is described. The patient reported swelling, pain, and trismus after a pathologic fracture. After a systematic examination with the use of 99mTc-methylene diphosphonate, 67Ga-citrate, and 99mTc-pyridoxyl-5-methyl triptophan scintigraphy the primary focus was discovered in the right lobe of the liver. The focus was confirmed by computed tomography and magnetic resonance imaging. The histopathologic diagnosis of hepatocellular carcinoma was made from a biopsy specimen of the mandibular lesion.
authors.affiliation: Department of Dental Radiology, School of Dentistry, University of Hokkaido, Sapporo, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Takinami
authors.forename: H
authors.initials: H
authors.lastname: Yahata
authors.forename: A
authors.initials: A
authors.lastname: Kanoshima
authors.forename: M
authors.initials: M
authors.lastname: Yamasaki
authors.forename: K
authors.initials: K
authors.lastname: Funaoka
authors.forename: E
authors.initials: E
authors.lastname: Nakamura
authors.forename: T
authors.initials: T
authors.lastname: Fujiwara
authors.forename: Y
authors.initials: Y
authors.lastname: Totsuka
mesh_terms: D006528:Carcinoma, Hepatocellular / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000556:secondary*; D017809:Fatal Outcome; D005710:Gallium Radioisotopes; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D008297:Male; D008339:Mandibular Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000556:secondary*; D008875:Middle Aged; D015609:Organotechnetium Compounds; D011730:Pyridoxal / Q000031:analogs & derivatives; D011862:Radiography, Panoramic; D011877:Radionuclide Imaging; D013669:Technetium Tc 99m Medronate; D014057:Tomography, X-Ray Computed; D014364:Tryptophan / Q000031:analogs & derivatives
chemical_list: D005710:Gallium Radioisotopes; D015609:Organotechnetium Compounds; C038081:technetium Tc 99m pyridoxyl-5-methyltryptophan; D011730:Pyridoxal; D014364:Tryptophan; D013669:Technetium Tc 99m Medronate