Rohrer M D, Colyer J
J Oral Surg. 1981 Jun;39(6):442-5.
A case is presented in which the only positive subjective and clinical finding was mental nerve paresthesia. After appropriate and careful workup, in conjunction with medical colleagues, no definitive diagnosis was made until a biopsy of the mandibular canal was performed. The biopsy specimen in this case showed the presence of adenocarcinoma, metastatic to the mandible, thus upholding the axiom that mental nerve paresthesia suggests the existence of a malignant neoplasm. Retrospective comparisons with previous bone marrow aspirates demonstrated widespread, previously unrecognized adenocarcinoma.
本文报告了一例病例，其唯一的主观和临床阳性发现是颏神经感觉异常。在与医学同事一起进行了适当且仔细的检查后，直到对下颌管进行活检才做出明确诊断。该病例的活检标本显示存在转移至下颌骨的腺癌，从而证实了颏神经感觉异常提示存在恶性肿瘤这一公理。与之前的骨髓穿刺样本进行回顾性比较发现存在广泛的、之前未被识别的腺癌。
