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All Journal Nusantara Medical Science Journal Journal of Case Reports in Dental Medicine
Hamdani, William
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Dentistry Health Professions Materials Science & Nanotechnology Neuroscience

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Preoperative transarterial embolization for buccal region lymphangioma Latief, Nikmatia; Rosdiana, Rosdiana; Hamdani, William; Laidding, Sachraswaty R.; Iskandar, Muslim; Santosa, Jeremy Y.
Journal of Case Reports in Dental Medicine Vol 6, No 1 (2024)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v6i1.228

Abstract

Objective: These clinical findings were subsequently corroborated by anatomic pathology (PA) examination.Methods: Lymphangiomatosis, on the other hand, is a rare condition characterized by multifocal lymphatic proliferation, typically diagnosed during childhood. It affects various parenchymal organs, including the lungs, liver, spleen, bones, and skin. Lymphangiomas manifest across a wide age spectrum among patients and occur at multiple anatomical sites, presenting a diverse range of clinical and radiological manifestations.  The management of these tumors is complex and often requires involvement of multiple medical specialists, including orthopedic surgeons, radiologists, general surgeons, neurosurgeons, and oncologists.Results: The primary aim of presurgical embolization is to achieve devascularization of the tumor before surgical resection, resulting in reduced intraoperative blood loss and fewer complications. It is advisable to perform early resection following embolization, as revascularization can occur within six weeks in some cases.Conclusion: Limited research has been conducted on the embolization of musculoskeletal tumors for neoadjuvant, therapeutic, and palliative purposes. Nevertheless, there is a shortage of data regarding the results of presurgical embolization for musculoskeletal tumors.
Mandibular Metastasis as a Rare Presentation of Follicular Variant Papillary Thyroid Carcinoma: A Case Series Hamdani, William; Patabang, Erwin A.; Haryasena , Haryasena; Ferianto, Djonny; Pieter Jr., John; Salman Ardi Syamsu
Nusantara Medical Science Journal Vol. 10 No. 2 (2025): Volume 10 Issue 2, July - December 2025
Publisher : Faculty of Medicine, Hasanuddin University.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/nmsj.v10i2.48914

Abstract

Introduction: Papillary thyroid carcinoma (PTC) is the most common endocrine malignancy. The follicular variant of papillary thyroid carcinoma (FV-PTC) represents a distinct histologic subtype that tends to spread hematogenously to distant organs, including bone. Mandibular metastasis from FV-PTC is exceedingly rare and may pose a diagnostic challenge, particularly when it precedes recognition of the primary thyroid lesion. Presentation of case:   We report two Asian female patients presenting with mandibular masses. The first patient had a history of total thyroidectomy for papillary thyroid carcinoma (follicular variant) ten years earlier. Imaging revealed an extensive osteolytic lesion of the right mandible. Histopathology of an incisional biopsy confirmed metastatic PTC, and the patient underwent right hemimandibulectomy with immediate reconstruction using a titanium plate. The second patient presented with a large, painful left mandibular mass without any history or clinical evidence of thyroid disease. Imaging showed a destructive lytic lesion of the left mandible, while neck ultrasonography revealed no thyroid enlargement. Biopsy suggested FV-PTC of thyroid origin. The patient underwent left hemimandibulectomy with titanium plate reconstruction. Final histopathology in both cases confirmed FV-PTC metastasis to the mandible. Conclusion: Mandibular metastasis from FV-PTC is a rare manifestation that may occur as late recurrence after thyroidectomy or as the first indication of an occult thyroid carcinoma. Comprehensive diagnostic workup and appropriate surgical reconstruction are crucial to achieve local disease control and preserve function. Clinicians should consider metastatic thyroid carcinoma in the differential diagnosis of lytic mandibular lesions, even in the absence of a palpable thyroid
Co-Authors Ferianto, Djonny Haryasena , Haryasena Iskandar, Muslim Laidding, Sachraswaty R. Latief, Nikmatia Patabang, Erwin A. Pieter Jr., John Rosdiana Rosdiana Salman Ardi Syamsu Santosa, Jeremy Y.