Multiple malignant lesions involving the orofacial region: a case report

Abstract

We describe a rare finding in a 38 yea r old patient with previously undiagnosed prostate cancer who presented with multiple facial swellings, mental nerve neuropathy and paraplegia . While the co-existence of paraplegia and mental nerve neuropathy is a possible feature of meta - static prostate cancer involving t he spine and mandible ,the concomitant occurrence of multiple facial swellings involving the anterior mandible with its related gingival and lip mucosa , frontal bone and parotid gland s is a rare finding. This raised a suspicion o f t wo histologically different malignancies co-existing in this patient. Fine needle aspiration cytology (FNAC ) of t h e parotid lesion and incisional biopsy of the gingival lesion were reported as Lymphoblastic lymphoma and Non Hodgkin's Lymphoma respectively. A Transrectal biopsy of the prostate gland confirmed adenocarcinoma of the prostate gland . The patient however died due to number of intercurrent illnesses and rapid deterioration consequent on h is disease condition. Unfortunately , all efforts to carry out an autopsy were unsuccessful due to strong objection of the relatives on religious grounds. Problem associated with the diagnosis and management of such