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The clinical presentation of metastatic disease in the jaw can vary and may occur in the oral soft tissues, subcutaneous tissues adjacent to bone, mandible or maxillary alveolus and can mimic dental pathology. The radiographic appearance of metastatic disease is most commonly an expansive, lytic lesion with irregular borders. This case report describes the presentation of an otherwise medically well 76\u2010year\u2010old male patient to his dentist with a mobile lower left pre\u2010molar. Following extraction of the tooth, a rapid increase in the jaw swelling resulted in further medical investigation, leading to a diagnosis of metastatic prostate cancer. This case serves to remind dental practitioners to remain vigilant when dental treatment of seemingly obvious dental pathology does not resolve within the expected timeframe, and to maintain a low threshold for medical review and investigation when suspicious lesions arise. This is particularly relevant in the older patient when the incidence of other diseases, such as cancer, is more common.<\/jats:p>","DOI":"10.1111\/adj.13051","type":"journal-article","created":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T10:05:09Z","timestamp":1732874709000},"page":"141-146","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prostate cancer presenting as an oral swelling\u2014A case report"],"prefix":"10.1111","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0702-617X","authenticated-orcid":false,"given":"S","family":"Beaumont","sequence":"first","affiliation":[{"name":"Melbourne Dental School, The University of Melbourne  Melbourne Victoria Australia"},{"name":"Peter MacCallum Cancer Centre  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Cavanagh","sequence":"additional","affiliation":[{"name":"Peter MacCallum Cancer Centre  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Angel","sequence":"additional","affiliation":[{"name":"Peter MacCallum Cancer Centre  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Choong","sequence":"additional","affiliation":[{"name":"Peter MacCallum Cancer Centre  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,11,29]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/0973-029X.110737"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/jispcd.JISPCD_512_16"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12105-014-0591-z"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2006.0112"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2016.05.013"},{"key":"e_1_2_8_7_1","first-page":"132","article-title":"Metastatic tumors to the jaws: a report of eight new cases","volume":"11","author":"Bodner L","year":"2006","journal-title":"Medicina Oral, Patolog\u00eda Oral y Cirug\u00eda Bucal (Internet)"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.4103\/0019-509X.82894"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/odi.13611"},{"key":"e_1_2_8_10_1","article-title":"Bone Metastases","volume":"809","author":"Coleman RE","year":"2020","journal-title":"Bone Metastases Abeloff's Clin Oncol"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13244-013-0298-9"},{"key":"e_1_2_8_12_1","first-page":"1","article-title":"Metastases to the mouth and jaws: a contemporary Canadian experience","volume":"77","author":"Daley T","year":"2011","journal-title":"J Can Dent Assoc"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0714.1994.tb00072.x"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2007.09.012"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp18X700205"},{"key":"e_1_2_8_16_1","first-page":"119","article-title":"Delayed and Non\u2010Healing Wounds in Oral & Maxillofacial Surgery Practice\u2010A Case Series","volume":"5","author":"Varghese G","year":"2022","journal-title":"Asian Journal of Dental Sciences"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1308\/003588413X13629960045599"}],"container-title":["Australian Dental Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/adj.13051","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,14]],"date-time":"2025-06-14T05:51:27Z","timestamp":1749880287000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/adj.13051"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,29]]},"references-count":16,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1111\/adj.13051"],"URL":"https:\/\/doi.org\/10.1111\/adj.13051","archive":["Portico"],"relation":{},"ISSN":["0045-0421","1834-7819"],"issn-type":[{"type":"print","value":"0045-0421"},{"type":"electronic","value":"1834-7819"}],"subject":[],"published":{"date-parts":[[2024,11,29]]},"assertion":[{"value":"2024-11-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}