Numb chin syndrome: the presenting symptom of a metastatic prostate carcinoma.
Numb chin syndrome is a sensory neuropathy characterized by numbness involving the distribution of the mental nerve that could be an uncommon manifestation of metastatic malignancy. Bony metastases are common in patients with advanced prostate carcinoma and involving preferentially vertebrae, sternum, pelvic bones, ribs and femurs. We report a case in an 82-year-old man presenting a history of mental neuropathy as the isolated presenting symptom of a widespread metastatic prostate cancer Numb chin syndrome was describe in some reviews as a late component of a previously diagnosed disease but this report underline the importance of this neuropathy as the isolated presenting symptom of a widespread metastatic prostate cancer. This event is very rare and enumerates four cases in the world literature.
Viganò
Paolo
P
Urology Department, San Gerardo Hospital, Monza, Italy.
Picozzi
Stefano Carlo Maria
SC
Giuberti
Alfio
A
Casu
Marilena
M
Manganini
Vittorio
V
Mazza
Luciano
L
Strada
Guido Raffaele
GR
D000230:Adenocarcinoma / Q000150:complications* / Q000556:secondary*; D000369:Aged, 80 and over; D001859:Bone Neoplasms / Q000150:complications* / Q000556:secondary*; D005155:Facial Nerve Diseases / Q000209:etiology*; D017809:Fatal Outcome; D006801:Humans; D008297:Male