Carcinoma metastásico de células hepáticas en la mandíbula

the metastatic hepatic carcinoma is a complicated disease resulting in a high morbidity and mortality. metastases in different sub-sites of oral cavity are a uncommon consequence of a distant spreading of disease. these metastases account for 1% of all malignant neoplasms of oral cavity and a few cases are described in literature. authors try to inform health professionals on the epidemiological, histological and clinical trends of this pathological entity. present paper reports a case of hepatocellular metastasis in a female patient aged 79 who came to stomatology consultation of the state university of maringá, brazil presenting with an injury in the bottom of the right inferior groove in the canine region. the presence of metastasis in the mandibular region is infrequent and suggests a reserved prognosis. in the panoramic and periapical radiographs radiolucency was observed a region with poorly defined margins in the form of moth-eaten. the result of biopsy demonstrated that it was a metastasis caused by a probable primary tumor in liver. metastasis was treated by the oncologist with poor results. the health professionals need information on this entity to treat their patients in a appropriate way, mainly at the light of the new epidemiological, histological and clinical knowledge.