Halachmi S, Madeb R, Madjar S, Wald M, River Y, Nativ O
Department of Urology, Bnai Zion Medical Center, Haifa, Israel.
Urology. 2000 Feb;55(2):286. doi: 10.1016/s0090-4295(99)00396-9.
We report a case of the numb chin syndrome as the presenting symptom in a patient with metastatic prostate carcinoma. The numb chin syndrome is characterized by facial numbness along the distribution of the mental branch of the trigeminal nerve. Most cases of this syndrome that are not dental in origin have been associated with diffuse metastatic disease, particularly with underlying lymphoproliferative and breast cancer. Although axial and vertebral bone metastases are common in patients with carcinoma of the prostate, mental nerve involvement is rare. We present a case of the numb chin syndrome as the initial clinical manifestation in a patient with metastatic prostate adenocarcinoma.
我们报告一例转移性前列腺癌患者以麻木性颏部综合征为首发症状。麻木性颏部综合征的特征是沿三叉神经颏支分布区域出现面部麻木。该综合征大多数非牙源性病例与弥漫性转移性疾病有关，尤其是与潜在的淋巴增殖性疾病和乳腺癌有关。虽然前列腺癌患者中轴骨和椎骨转移很常见，但颏神经受累很少见。我们呈现一例转移性前列腺腺癌患者以麻木性颏部综合征作为初始临床表现。
