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Journal of Case Reports
Metastatic Breast Carcinoma Associated with Numb Chin Syndrome

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Bhupen Barman, PK Bhattacharya, B Wankhar1, Synrang Batngen Warjri, Taso Beyong
From the Departments of Medicine and Radiology1, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Mawdiangdiang, Shillong, Meghalaya-793018, India.
Corresponding Author:
Dr. Bhupen Barman
Email: drbhupenb@gmail.com
Received: 03-NOV-2014 Accepted: 10-DEC-2014 Published Online: 30-DEC-2014
DOI: http://dx.doi.org/10.17659/01.2014.0132
Abstract
Numb chin syndrome (NCS) is the presence of hypoesthesia or paraesthesia of the lip and chin in the region of the distribution of inferior alveolar or mental nerve, often caused by metastatic malignancy. We present a 52 year old female known case of rheumatoid arthritis with past history of modified radical mastectomy for right breast carcinoma presenting with paraesthesia and intermittent pain in left lower facial area. CECT abdomen showed liver metastasis and MRI of the head and neck region showed metastatic lesion in the mandible along with vertebral metastasis. Diagnosis of numb chin syndrome was made and patient was put on symptomatic management. Though rare, the NCS may be first symptom in the presentation of underlying malignancy. The treating physician must be aware that the seemingly trivial symptom of lower facial numbness may signal serious illness and early diagnosis do have significant improvement of the treatment course and prognosis. 
Keywords : Breast Neoplasms, Carcinoma, Chip, Hypesthesia, Lip, Mastectomy, Humans.
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