Metastatic adenocarcinoma of the mandible

A 58-year-old gentleman presented to the Oral and Maxillofacial Surgery Department having been referred by his dentist with a non-healing post-extraction socket. Examination revealed an intraoral mass and an associated suspected pathological fracture of the right body of the mandible. He had a background of metastatic adenocarcinoma of the sigmoid colon. Subsequent biopsy of the mandibular mass confirmed metastatic spread to the mandible, a rare presentation. The patient was managed conservatively given his extensive co-morbidities.