Pancreatic adenocarcinoma presenting as mandibular tumor: ca
Pancreatic adenocarcinoma metastasizing to the mandible is extremely rare, with only 4 previous cases reported in the literature. Published in the OOO journal, the authors present a case of a patient with a metastatic lesion in the mandible as the initial manifestation of pancreatic adenocarcinoma.

A 45-year-old man with a 5-week history of pain, following a tooth extraction, was referred to our Oral & Maxillofacial Department and presented with a nonhealing socket in the mandibular premolar region.

He was investigated by use of imaging and an urgent biopsy. The diagnosis of pancreatic neoplasm was made. At this stage, the disease was fairly extensive and management was palliative.

Key takeaways:-
- This case demonstrates the importance of a full investigation when a patient presents with a nonhealing socket and pain after tooth extraction.

- Mandibular metastases from distant primaries often have poor prognosis, with most patients getting palliative support.

- A multidisciplinary team approach is required for the management of these rare cases.

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