No abstract

The neoplasm that metastasize more frequently in the oral cavity are those that originate in breast, lung, prostate, gastrointestinal system and kidney [4]. In a literature review performed by the authors of this article, 38 cases of mandibular condyle metastasis were identified. Seven cases correspond to metastasis whose primary tumor was located in the lungs. The first warning signs of possible malignant processes are pain, paresthesia, swelling, tooth mobility and pathological fractures. About 59% of the cases that reported metastasis in the condylar region are presented mimicking symptoms of temporomandibular disorders [2]. In the case of the tumors described in the condylar region, the most frequent symptoms are: disfunction, pain, trismus, limitation and deviation of the mandibular opening, swelling, osteolytic radiographic lesion and pathologic fractures of the condyle neck that may suggest metastatic malignant processes [2]. Due to the non-specific of the clinical signs, the possibility to confuse the diagnose with benign pathologies and the high mortality when is found distant metastasis. The objective of this study is to present a case of a mandibular condyle metastasis that present itself as the only initial manifestation mimicking signs and symptoms of temporomandibular disorders.