Oral pathology case book : metastatic colorectal carcinoma to the mandible

Abstract

A 75-year old male patient presented to the Department of Maxillofacial and Oral Surgery complaining of a four-month history of a painless, ulcerative lesion which involved the posterior mandibular alveolar ridge in the region of tooth 38 with extension into the base of tongue. The patient reported that the lesion initially presented as a “pimple”. A dome-shaped area of mucosal swelling was clinically noted which subsequently ulcerated and had since failed to heal. The patient had sought treatment at three different hospitals before being referred to our institution.