Breast Cancer with Isolated Metastatic Temporomandibular Joint: A Surgeon’s Challenge

  • Ho Hui Lian Faculty of Medicine and Health Sciences
  • Firdaus Hayati Faculty of Medicine and Health Sciences
  • Nornazirah Azizan Department of Pathobiology and Medical Diagnostics, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Sabah, Malaysia
  • Andee Dzulkarnaen Zakaria Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia
Keywords: breast cancer, temporomandibular joint metastasis, diagnostic challenge, mastectomy, axillary dissection

Abstract

Breast cancer is the number one malignancy in women worldwide. It tends to metastasize distantly via lymphatic and haematogenous route. Skeletal metastases are frequent with more than three quarter of cases in all malignant bone tumours. Breast cancer can infiltrate the axial bone especially spine, but rarely affect the temporomandibular joint. In view of its rarity and the significance of early detection, the diagnosis is always challenging and shall be considered in the differential diagnosis. We endeavour to highlight this unfortunate 37-year-old premenopausal lady who had just undergone left mastectomy and axillary dissection but was complicated with left temporomandibular joint metastasis.

Author Biographies

Ho Hui Lian, Faculty of Medicine and Health Sciences
Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia.
Firdaus Hayati, Faculty of Medicine and Health Sciences
Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia.
Nornazirah Azizan, Department of Pathobiology and Medical Diagnostics, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Sabah, Malaysia
Department of Pathobiology and Medical Diagnostics, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Sabah, Malaysia
Andee Dzulkarnaen Zakaria, Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia
Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia
Published
2018-09-28
How to Cite
Lian, H., Hayati, F., Azizan, N., & Zakaria, A. (2018). Breast Cancer with Isolated Metastatic Temporomandibular Joint: A Surgeon’s Challenge. Borneo Journal of Medical Sciences (BJMS), 12(3), 53-57. Retrieved from https://jurcon.ums.edu.my/ojums/index.php/bjms/article/view/1103