Prostate cancer masquerading as a zygomatic posttraumatic mass.
A zygomatic mass is a rare occurrence. We describe a 52-year-old man with a zygomatic arch mass and a recent history of facial trauma. Findings on a computed tomographic scan of the facial bones were interpreted as callus formation, consistent with fracture of the zygomatic arch. The level of the prostate-specific antigen was increased to 62.3 ng/mL, and a biopsy of a nodular prostate specimen revealed adenocarcinoma (Gleason sum, 3 + 4 = 7). Because the laboratory data, history, and findings on physical examination did not correlate, we suspected a tumor metastatic to the facial bones.
Harlan
J W
JW
Division of Plastic Surgery, Mayo Clinic Rochester, Minnesota 55905, USA.
Petty
P M
PM
Bostwick
D G
DG
D000230:Adenocarcinoma / Q000175:diagnosis* / Q000556:secondary; D001706:Biopsy; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D011471:Prostatic Neoplasms / Q000175:diagnosis* / Q000473:pathology; D012888:Skull Neoplasms / Q000556:secondary*; D014057:Tomography, X-Ray Computed; D015050:Zygoma / Q000000981:diagnostic imaging