A case of metastatic hepatocellular carcinoma with numb chin syndrome as the initial manifestation

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  • YAMASHIRO Takahiro
    Department of Dentistry and Oral surgery, Iizuka Hospital Department of Oral and Maxillofacial Surgery, Graduate School of Dental Science, Kyushu University
  • NAKAMATSU Koji
    Department of Dentistry and Oral surgery, Iizuka Hospital
  • NAKAMURA Ai
    Department of Dentistry and Oral surgery, Iizuka Hospital Department of Dental Anesthesiology, Faculty of Dental Science, Kyushu University
  • NAKAMURA Kazuhiro
    Department of Dentistry and Oral surgery, Iizuka Hospital Department of Oral and Maxillofacial Surgery, Graduate School of Dental Science, Kyushu University
  • KUMAMARU Wataru
    Department of Dentistry and Oral surgery, Iizuka Hospital Department of Oral and Maxillofacial Surgery, Graduate School of Dental Science, Kyushu University
  • HIRAKI Akimitsu
    Department of Dentistry and Oral surgery, Iizuka Hospital Department of Oral and Maxillofacial Surgery, Sensory and Motor Organ Sciences, Faculty of Medical and Pharmaceutical Sciences, Kumamoto University

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  • Numb chin syndromeを初発症状とした転移性肝細胞癌の1例
  • Numb chin syndrome オ ショハツ ショウジョウ ト シタ テンイセイ カン サイボウガン ノ 1レイ

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Abstract

We report a case of metastatic hepatocellular carcinoma with numb chin syndrome as a initial manifestation. A 55-year-old man was referred to our hospital due to numbness of the left lower lip. Radiographic examination revealed neither osteosclerotic nor radiolucent lesion inside the left mandible. However, the invasive destsruction of the buccal cortex at this region was discovered by the computed tomography. A biopsy inside the mandible suggested metastatic hepatocellular carcinoma. Although the patient was scheduled to receive chemotherapy, his general condition deteriorated rapidly and died four months after the first visit.

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