PMC3708429_01
Clinical picture of the patient with one-month history of swelling in left mandibular region.
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A 68-year-old male, formerly a smoker, presented with one-month history of rapidly progressing swelling in the left mandibular region (Figure 1).
OPG showing osteolytic lesion involving left angle and ramus of mandible.
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CECT parotid regions were ordered. OPG showed an osteolytic lesion involving left ramus of mandible (Figure 2). CT scan of the parotid region revealed an osteolytic lesion involving inferior middle 3rd of left ramus of the mandible and posterior body of the mandible corresponding to the 3rd molar (Figure 3).
CT parotid region depicting osteolytic lesion in ramus and posterior body of mandible on left side.
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CECT parotid regions were ordered. OPG showed an osteolytic lesion involving left ramus of mandible (Figure 2). CT scan of the parotid region revealed an osteolytic lesion involving inferior middle 3rd of left ramus of the mandible and posterior body of the mandible corresponding to the 3rd molar (Figure 3).
CECT abdomen, axial cuts showing well circumscribed mass arising from right kidney with stranding of perinephric fat.
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USG abdomen was done that showed a well-defined heterogenous mass (43 x 34 mm) in the right renal pelvis following which CECT abdomen was ordered that defined a well circumscribed mass in right kidney measuring 3.7 x 4.6 cm with stranding of perinephric fat and multiple B/L Bosniak type 1 renal cysts (Figure 4).
Histologic features of renal cell carcinoma; epithelial cellular network shown with clear cytoplasm and hyperchromatic nuclei surrounded by a rich vascular network.
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With these radiological findings, the impression of renal cell carcinoma with mandibular metastasis was made, and the FNA slides from mandibular swelling were sent for review examination and reported as deposits of renal cell carcinoma (Figure 5).