The mandible is an uncommon site for metastatic disease.

Prostate carcinoma is a tumor well known for its predisposition to metastasize to the bone, but it virtually always sclerotic in nature, as with the diffuse metastases elsewhere in this patient, with the exception on the bilateral mandibular lesions which are lytic in nature.

A double, but histologically proven radiological curiosity.  One of the more unusual ways to present with first diagnosis of prostate carcinoma with a jaw mass to OMF.

The patients PSA was >100 units with iliac node metastases on body CT.